Individual provider Active NPI

Elizabeth Stutler, RD

  • Registered Dietitian
  • Baker, WV
National Provider Identifier
1083115679
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
743 Issued in WV
Practice address
17978 Sr 55
Baker, WV 26801
Phone
(304) 897-5915
NPI assigned
Feb 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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 743 WV Primary

Addresses

Primary practice location

17978 Sr 55
Baker, WV 26801

Mailing address

PO Box 97
Baker, WV 26801-0097
Phone (304) 897-5915

Other practice location 1

100 Pin Oak Ln
Keyser, WV 26726-5908
Phone (304) 597-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231227001861 WV Practitioner - Registered Dietitian Or Nutrition Professional 3870839012 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
743WVMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
E.a. Hawse Health Center Inc CurrentSince Nov 15, 2023 Accepting new patients
E. a. Hawse Health Center, Inc. CurrentSince Nov 15, 2023 Accepting new patients
E. a. Hawse Health Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Marjorie Nolan Cohn LLC Dietitian, Registered Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

17978 State Road 55
Baker, WV 26801
Phone (304) 897-8220

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1083115679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "BAKER",
            "state": "WV",
            "postal_code": "268010097",
            "telephone_number": "304-897-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17978 SR 55",
            "city": "BAKER",
            "state": "WV",
            "postal_code": "26801",
            "telephone_number": "304-897-5915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Pin Oak Ln",
            "address_purpose": "LOCATION",
            "city": "Keyser",
            "state": "WV",
            "postal_code": "267265908",
            "country_code": "US",
            "telephone_number": "304-597-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUTLER",
        "first_name": "ELIZABETH",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WV",
            "license": "743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baker, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.