NPIMap

Organization Active NPI

E. Elizabeth Nutrition Counseling LLC

  • Registered Dietitian
  • Winchester, MA
National Provider Identifier
1013420066
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
4034 Issued in MA
Legal business name
E. ELIZABETH NUTRITION COUNSELING LLC
Practice address
107 Cross St Apt a
Winchester, MA 01890-1175
Phone
(617) 237-0633
NPI assigned
Nov 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Authorized official

Name
Ms. Emily Elizabeth Blake, MS, RD, LDNNPI 1821516436
Title
Owner
Phone
(617) 791-1846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 4034 MA Primary

Addresses

Primary practice location

107 Cross St Apt a
Winchester, MA 01890-1175

Mailing address

107 Cross St Apt a
Winchester, MA 01890-1175
Phone (617) 791-1846

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1013420066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CROSS ST APT A",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901175",
            "telephone_number": "617-791-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CROSS ST APT A",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901175",
            "telephone_number": "617-237-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. ELIZABETH NUTRITION COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-791-1846",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "4034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.