Elizabeth A Wilson, R.D., L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1804 Issued in KS

Practice address

817 N Emporia St
Wichita, KS 67214-3709

Phone

(316) 268-5927

NPI assigned

Mar 12, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Great Plains Diabetes Research IncGroup PAC ID 0446479398, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Great Plains Diabetes Research, Inc

  • Clinical Nurse Specialist
  • Wichita, KS
  • NPI 1912316811
  Medicare reassignment Care Compare group NPD
• Newton Healthcare Corporation

  • Family Medicine Physician
  • Newton, KS
  • NPI 1871588533

  Dietitian, Registered

  Medicare reassignment NPD
• Newton Healthcare Corporation

  • Home Health Agency
  • Newton, KS
  • NPI 1588755169
  NPD

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1043551393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1897",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672011897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 N EMPORIA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143709",
            "telephone_number": "316-268-5927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 N Saint Francis St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672143821",
            "country_code": "US",
            "telephone_number": "316-268-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "1804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201195360A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alphonse Joseph Wilson, H.I.S.
• Ashley Marie Wilson
• Brittany Danielle Wilson, DO
• Donna Lou Wilson, APRN
• Elizabeth Wilson, LCPC
• Erin Wilson
• Gary L Wilson, DO
• H. David Wilson, MD
• Hannah Wilson
• Hilary M Wilson, COA

• Registered Dietitian in Wichita, KS
• Providers in Wichita, KS by specialty
• Registered Dietitian in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.