Individual provider Active NPI

Elizabeth Bartley Poor, NP

  • Family Nurse Practitioner
  • Radford, VA
National Provider Identifier
1902400799
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024179724 Issued in VA
Practice address
701 Randolph St Ste 120
Radford, VA 24141-3047
Phone
(540) 731-3200
NPI assigned
Nov 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024179724 VA Primary

Addresses

Primary practice location

701 Randolph St Ste 120
Radford, VA 24141-3047

Mailing address

701 Randolph St Ste 120
Radford, VA 24141-3047
Phone (540) 731-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20210216000549 VA Practitioner - Nurse Practitioner 3476968983 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024179724VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Rockbridge Community Hospital CurrentSince Mar 14, 2021 Accepting new patients
Carilion Healthcare Corporation CurrentSince Mar 14, 2021 Accepting new patients
Carilion Healthcare Corporation CurrentSince Mar 14, 2021 Accepting new patients
Carilion Medical Center CurrentSince Mar 14, 2021 Accepting new patients
Carilion Giles Community Hospital CurrentSince Mar 14, 2021 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Mar 14, 2021 Accepting new patients
Carilion Giles Community Hospital CurrentSince Mar 14, 2021 Accepting new patients
Carilion Medical Center CurrentSince Mar 14, 2021 Accepting new patients

Locations

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

701 Randolph St
Ste 120
Radford, VA 24141
Phone (540) 731-2153

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1902400799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 RANDOLPH ST STE 120",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241413047",
            "telephone_number": "540-731-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 RANDOLPH ST STE 120",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241413047",
            "telephone_number": "540-731-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOR",
        "first_name": "ELIZABETH",
        "middle_name": "BARTLEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2023-06-21",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Radford, VA

Sources for this page

Verify at the official NPI Registry.