MRS. ELIZABETH A. LOPEZ (NPI# 1619000130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619000130 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH A. LOPEZ |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
2157 Bacom Point Rd Pahokee FL 33476-2623 |
| Practice Telephone | 5619247788 |
| Practice Fax Number | 5619247677 |
| Mailing Telephone | 5619247788 |
| Mailing Fax Number | 5619247677 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2017-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WA2000X |
Registered Nurse Specialization: Administrator |
RN787092 | FL | Nursing Service Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9100454 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PHYSICIAN ASSISTANT | PA9100454 | 01 |
| FL | REGISTERED NURSE | RN787092 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992284913 | Elizabeth Lopez | Counselor | 1501 Granada Cir, Edinburg, TX 78542-2249 | 2018-08-09 |
| 1356847040 | Elizabeth Bonilla Lopez | Massage Therapist | 10536 Montwood Dr Ste D, El Paso, TX 79935-2707 | 2018-04-02 |
| 1487099453 | Elizabeth Lopez | Specialist | 1 Colt Pl, Newburgh, NY 12550-3821 | 2013-05-06 |
| 1912255068 | Elizabeth Lopez | Home Health Aide | 332 N 40th Street, Milwaukee, WI 53208-3739 | 2012-08-21 |
| 1679847735 | Elizabeth Lopez | Case Manager/Care Coordinator | 16837 S Vermont Ave Apt A, Gardena, CA 90247-5623 | 2012-03-06 |
| 1003057480 | Elizabeth Lopez | Counselor | 218 N 8th St Apt 32, Santa Paula, CA 93060-2144 | 2009-03-16 |
| 1457592917 | Elizabeth Ann Lopez | Nurse Anesthetist, Certified Registered | 1811 S New England St, Los Angeles, CA 90006-5313 | 2009-03-13 |
| 1568657302 | Elizabeth Ann Lopez | Registered Nurse | 1524 27th St Ste 401, Bakersfield, CA 93301-2056 | 2007-09-13 |
| 1245341007 | Elizabeth Lopez | Social Worker | 132 N Eisenhower Dr, Junction City, KS 66441-3314 | 2006-08-31 |
| 1962481739 | Elizabeth Lopez | Emergency Medicine | 1855 Ne 8th St, Campbell Urgent Care, Homestead, FL 33033-4705 | 2006-01-11 |
| Street Address |
2157 BACOM POINT RD |
| City | PAHOKEE |
| State | FL |
| Zip Code | 33476-2623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982237988 | Shekinah Family Medical Centers LLC | Internal Medicine | 279 S. Lake Avenue, Pahokee, FL 33476 | 2020-02-18 |
| 1366951600 | Leticia Kelly | Technician | 509 Pahokee Cir, Pahokee, FL 33476 | 2017-09-28 |
| 1013383595 | Pahokee Healthcare Incorporated | Dentist | 170 Barfield Highway, Suite 104, Pahokee, FL 33476 | 2015-08-19 |
| 1043524127 | Grace Healthcare Solutions, Inc. | Clinic/Center | 7368 State Road 15, Us 441, Pahokee, FL 33476 | 2010-08-02 |
| 1720014566 | Marie E Duthil | Internal Medicine | 279 S Lake Ave, Pahokee, FL 33476 | 2006-06-23 |
| 1154304046 | Aids Healthcare Foundation | Clinic/Center | 170 S Barfield Highway, Suite 106, Pahokee, FL 33476 | 2005-11-23 |
| 1639471659 | Michelet Felix | Nurse Practitioner | 279 S Lake Ave, Pahokee, FL 33476 | 2010-11-23 |
| 1851311963 | Phillip C Crawford | Dentist | 1200 E Main St, Pahokee, FL 33476-1102 | 2006-07-20 |
| 1972545911 | Elizabeth Stevenson Ford | Nurse Practitioner | 1200 E Main St, Pahokee, FL 33476-1102 | 2006-06-12 |
| 1467726257 | Florida Department of Health | Public Health or Welfare | 1839 East Main Street, Pahokee, FL 33476-1113 | 2012-02-27 |
| Find all providers in zip 33476 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.