ELIZABETH ANN CUSHING
NPI 1629518139
Student in an Organized Health Care Education/Training Program in Coronado, CA

Active since March 02, 2017
601 MC CAIN BLVD, CORONADO, CA 92118(619) 545-4359(619) 545-0452 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 20, 2023, Mar 2, 2017 (2 updates tracked since 2017).

About Elizabeth Ann Cushing NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH ANN CUSHING (NPI 1629518139) is an individual student in an organized health care education/training program in Coronado, California and active in the NPI registry since March 2017. She maintains a secondary practice location in Portsmouth.

NPPES Registry Identity

NPI1629518139
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELIZABETH ANN CUSHING
Location Address601 MC CAIN BLVDCoronado, CA 92118
Mailing Address601 Mc Cain BlvdCoronado, CA 92118 · (619) 545-4359 · Fax (619) 545-0452
Fax(619) 545-0452
Sole ProprietorNo
Enumeration DateMarch 2, 2017
Last NPPES UpdateFebruary 20, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2023
NPI 1629518139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

601 MC CAIN BLVD, Coronado, CA 92118

Secondary Practice Location 1

Location 1620 John Paul Jones CirPortsmouth, VA 23708-2111 · Phone (757) 953-0669

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
601 MC CAIN BLVD
CORONADO, CA 92118

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629518139, enumerated as an "individual" on March 02, 2017.

The provider is located at 601 MC CAIN BLVD CORONADO, CA 92118 and the phone number is (619) 545-4359.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.