Active NPI
Patricia Elder, RD
- Registered Dietitian
- Washington, DC
National Provider Identifier
1023776911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT80930
- 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, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DT80930 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S.O.W.N. LLC | Dietitian, Registered | Current | 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.