Active NPI
Elizabeth Parker Root, RD, LD, CDE
- Registered Dietitian
- Vero Beach, FL
National Provider Identifier
1063559052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND789
- Practice address
- 3755 20TH PL
Vero Beach, FL 32960-2302 - Phone
- (772) 562-6597
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | ND789 | FL | Primary |
Addresses
Primary practice location
3755 20TH PL
Vero Beach, FL 32960-2302
Mailing address
530 31St Ave
Vero Beach, FL 32968-2090
Phone (772) 562-6597
Other names 1
- Betsy P. Root
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 |
|---|---|---|---|
| ND789 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063559052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 31ST AVE",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329682090",
"telephone_number": "772-562-6597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3755 20TH PL",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329602302",
"telephone_number": "772-562-6597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOT",
"first_name": "ELIZABETH",
"middle_name": "PARKER",
"credential": "RD, LD, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETSY",
"last_name": "ROOT",
"middle_name": "P.",
"credential": "RD, LD, CDE",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.