Individual provider Active NPI

Patricia Elder, RD

  • Registered Dietitian
  • Washington, DC
National Provider Identifier
1023776911
Registry record updated Feb 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT80930 Issued in TX
Practice address
1331 H St NW Ste 200
Washington, DC 20005-4706
Phone
(201) 500-7696
NPI assigned
Dec 7, 2021
Last updated
Feb 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT80930 TX Primary

Addresses

Primary practice location

1331 H St NW Ste 200
Washington, DC 20005-4706

Mailing address

1331 H St NW Ste 200
Washington, DC 20005-4706
Phone (201) 500-7696

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DT80930TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
S.O.W.N. LLC Dietitian, Registered CurrentSince Dec 1, 2021 Accepting new patients

Locations

1331 H St NW
Ste 200
Washington, DC 20005
Phone (202) 417-6576

17350 State Highway 249
Ste 220
Houston, TX 77064
Phone (817) 386-9498

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708128000000",
    "number": "1023776911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 H ST NW STE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200054706",
            "telephone_number": "201-500-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 H ST NW STE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200054706",
            "telephone_number": "201-500-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "PATRICIA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2024-02-17",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT80930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2024; 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.