Active NPI
Elizabeth Erin Walvoord, APRN
- Critical Care Neonatal Nurse Practitioner
- Lincoln, NE
National Provider Identifier
1942327424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- 110649
- Practice address
- 555 S 70TH St
Lincoln, NE 68510-2462 - Phone
- (402) 219-7420
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 110649 | NE | Primary |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 5922 | WI |
Addresses
Primary practice location
555 S 70TH St
Lincoln, NE 68510-2462
Mailing address
18605 S 120TH St
Hickman, NE 68372-9760
Phone (402) 580-4025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110649 | NE | MD | Critical Care Neonatal Nurse Practitioner |
| 5922 | WI | MD | Critical Care Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional West Physicians Clinic | Past | Accepting new patients | |
| CHI Health Clinic Specialty, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Lincoln, NE
- NPI 1285138065
-
- Rural Health Clinic/Center
- Mitchell, NE
- NPI 1992703425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469059200000",
"number": "1942327424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18605 S 120TH ST",
"city": "HICKMAN",
"state": "NE",
"postal_code": "683729760",
"telephone_number": "402-580-4025",
"fax_number": "402-219-7651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 S 70TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102462",
"telephone_number": "402-219-7420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALVOORD",
"first_name": "ELIZABETH",
"middle_name": "ERIN",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2016-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "NE",
"license": "110649",
"primary": true
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "WI",
"license": "5922",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.