Individual provider Active NPI

Elizabeth L Saum, NP

  • Family Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1932497674
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36546 Issued in TN
Practice address
1234 Franklin Rd SW
Roanoke, VA 24016-4606
Phone
(540) 345-1561
Fax
(540) 345-2112
NPI assigned
Jul 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024169461 VA
Family Nurse Practitioner 363LF0000X 36546 TN Primary

Addresses

Primary practice location

1234 Franklin Rd SW
Roanoke, VA 24016-4606

Mailing address

1234 Franklin Rd SW
Roanoke, VA 24016-4606
Phone (540) 345-1561

Other practice location 1

904 Hidden Acres Ave
Mount Pleasant, TN 38474-1039
Phone (731) 394-1145

Other practice location 2

1111 S. Jefferston Street
Suite B
Roanoke, VA 24016-4724
Phone (540) 345-3556 ext. 330

Other practice location 3

1410 Trotwood Ave
Columbia, TN 38401-4901
Phone (731) 394-1145

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address esaum9313@direct.carilionclinic.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110809000629 VA Practitioner - Nurse Practitioner 9234308271 Reassigns benefits to 4 organizations
I20241031000483 TN Practitioner - Nurse Practitioner 9234308271 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultra Health LLCGroup PAC ID 6800186602, 151 clinicians

Practice addresses (Care Compare)

4128 Old Jackson Rd
Bells, TN 38006-4261
Phone (731) 394-1145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36546TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ultra Health LLC Nurse Practitioner CurrentSince Aug 19, 2024 Accepting new patients
Ultra Health Providers III LLC CurrentSince Jan 4, 2026 Accepting new patients
Premier Geriatric Solutions PLLC CurrentSince Feb 1, 2024 Accepting new patients
Carilion Medical Center CurrentSince Mar 20, 2017 Accepting new patients
Hospitalist Medicine Physicians of Washington Tacoma PLLC Nurse Practitioner CurrentSince Jan 14, 2024 Accepting new patients
Integrated Wound Care Virginia PLLC CurrentSince Jul 15, 2023 Accepting new patients

Locations

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

490 W Poplar Ave
Collierville, TN 38017
Phone (901) 844-1439

1410 Trotwood Ave
Columbia, TN 38401
Phone (931) 388-6443

904 Hidden Acres Ave
Mt Pleasant, TN 38474
Phone (901) 867-7894

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

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

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

6701 Peters Creek Rd
Ste 110
Roanoke, VA 24019
Phone (800) 765-7130

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

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

324 King George Ave SW
Roanoke, VA 24016
Phone (540) 309-9895

Interoperability endpoints

  • Direct secure messaging: esaum9313@direct.carilionclinic.org
  • FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1932497674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 FRANKLIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164606",
            "telephone_number": "540-345-1561",
            "fax_number": "540-345-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 FRANKLIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164606",
            "telephone_number": "540-345-1561",
            "fax_number": "540-345-2112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "904 Hidden Acres Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "TN",
            "postal_code": "384741039",
            "country_code": "US",
            "telephone_number": "731-394-1145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 S. Jefferston Street",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240164724",
            "country_code": "US",
            "telephone_number": "540-345-3556 x330",
            "fax_number": "540-342-2193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1410 Trotwood Ave",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "384014901",
            "country_code": "US",
            "telephone_number": "731-394-1145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUM",
        "first_name": "ELIZABETH",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024169461",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "esaum9313@direct.carilionclinic.org",
            "affiliation": "N",
            "endpointDescription": "esaum9313@direct.carilionclinic.org",
            "address_1": "1906 Belleview Ave SE",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240141838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.