Active NPI
Elizabeth Parker, MS, RD
- Registered Dietitian
- San Luis Obispo, CA
National Provider Identifier
1063834984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01027240
- Practice address
- 1360 Laurel LN Apt 8
San Luis Obispo, CA 93401-5827 - Phone
- (805) 801-1321
- NPI assigned
- Jan 12, 2014
- Last updated
- Apr 17, 2018
- 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 | 01027240 | CA | Primary |
Addresses
Primary practice location
1360 Laurel LN Apt 8
San Luis Obispo, CA 93401-5827
Mailing address
3638 Lawnwood CT.
San Luis Obispo, CA 93401
Phone (805) 801-1321
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01027240 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Broadway Dietitian Nutrition Consulting, PLLC | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Not Your Average Nutritionist | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Registered Dietitian
- New York, NY
- NPI 1861262644
Dietitian, Registered
-
- Registered Dietitian
- San Luis Obispo, CA
- NPI 1629623020
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523923200000",
"number": "1063834984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3638 LAWNWOOD CT.",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "93401",
"telephone_number": "805-801-1321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 LAUREL LN APT 8",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934015827",
"telephone_number": "805-801-1321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-12",
"last_updated": "2018-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "01027240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.