Individual provider Active NPI

Katie Evers Elzer, RD, LD/N

  • Registered Dietitian
  • Orlando, FL
National Provider Identifier
1043961345
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND9277 Issued in FL
Practice address
2303 Depauw Ave
Orlando, FL 32804-5405
Phone
(352) 727-8116
NPI assigned
Jan 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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 ND9277 FL Primary

Addresses

Primary practice location

2303 Depauw Ave
Orlando, FL 32804-5405

Mailing address

2303 Depauw Ave
Orlando, FL 32804-5405
Phone (352) 727-8116

Other practice location 1

1155 Louisiana Ave Ste 216
Winter Park, FL 32789-2351
Phone (352) 727-8116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 13, 2025 through Aug 13, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ND9277FLMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1043961345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 DEPAUW AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045405",
            "telephone_number": "352-727-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 DEPAUW AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045405",
            "telephone_number": "352-727-8116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 Louisiana Ave Ste 216",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327892351",
            "country_code": "US",
            "telephone_number": "352-727-8116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELZER",
        "first_name": "KATIE",
        "middle_name": "EVERS",
        "name_prefix": "Mrs.",
        "credential": "RD, LD/N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND9277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.