Elizabeth Soleh Kerkula

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

LI-0033269 Issued in DE

Practice address

611 Providence Drive
Smyrna, DE 19977

Phone

(302) 670-5652

NPI assigned

Apr 29, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Soleh Mengarpuan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1912352782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 PROVIDENCE DR",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771060",
            "telephone_number": "302-670-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 PROVIDENCE DRIVE",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "19977",
            "telephone_number": "302-670-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERKULA",
        "first_name": "ELIZABETH",
        "middle_name": "SOLEH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "LI-0033269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MENGARPUAN",
            "middle_name": "SOLEH",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Franklyn Kargbo
• Maryann Kearns, DPT
• Patricia Leona Keller
• Susan A Kelly, M.D.
• Andrew James Kennedy III, RPH
• Fiza Khan, MD
• Chaunta Kilgoe
• Kirk Family Practice, LLC
• Kirk Family Practice, LLC
• Deborah T Kirk, M.D.

• Registered Nurse in Smyrna, DE
• Providers in Smyrna, DE by specialty
• Registered Nurse in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.