Elizabeth Erin Conn, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

23261 Issued in CA

Practice address

1541 Florida Ave Ste 200
Modesto, CA 95350-4438

Phone

(209) 577-3388

NPI assigned

Jul 19, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Elizabeth Lepley Conn Other name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Columbiana Emergency Physicians LLC

  • Emergency Medicine Physician
  • Steubenville, OH
  • NPI 1336618628
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1891137725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 976",
            "address_2": "23289 JOAQUIN GULLY ROAD",
            "city": "TWAIN HARTE",
            "state": "CA",
            "postal_code": "95383",
            "telephone_number": "949-547-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 FLORIDA AVE STE 200",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504438",
            "telephone_number": "209-577-3388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23289 Joaquin Gully Road",
            "address_2": "general delivery #976",
            "address_purpose": "LOCATION",
            "city": "Twain Harte",
            "state": "CA",
            "postal_code": "95383",
            "country_code": "US",
            "telephone_number": "949-547-8718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONN",
        "first_name": "ELIZABETH",
        "middle_name": "ERIN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA RN  NUMBER",
            "identifier": "680454",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA NURSE PRACTITIONER FURNISHING NUMBER",
            "identifier": "23261",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA NURSE PRACTITIONER NUMBER",
            "identifier": "23261",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CONN",
            "middle_name": "LEPLEY",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Omeka Conaway
• Justine Ann Soriben-Galicinao Concepcion
• Lillian Conger
• James Andrew Conley, DDS
• Marsha Conley
• Marcus George Connelly, MD
• Ashley Conner
• Alice Haejeen Conners, LCSW
• Stephen G Connolly, MD
• Cory Conolley

• Family Nurse Practitioner in Modesto, CA
• Providers in Modesto, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.