Active NPI
Eden Elizabeth Morris, MS, RD, LD
- Registered Dietitian
- Jackson, WY
National Provider Identifier
1093189433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD004526
- Practice address
- 345 Redmond St
Jackson, WY 83001-3671 - Phone
- (706) 537-4575
- NPI assigned
- Nov 23, 2015
- Last updated
- Jan 29, 2025
- 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 | LD004526 | GA | Primary |
Addresses
Primary practice location
345 Redmond St
Jackson, WY 83001-3671
Mailing address
PO Box 2418
Jackson, WY 83001-2418
Phone (706) 537-4575
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LD004526 | Other | GA | PROFESSIONAL LICENSING BOARDS |
| 311 | Other | WY | WYOMING DIETETICS LICENSE |
| 86052225 | Other | GA | COMMISSION ON DIETETIC REGISTRATION |
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)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1093189433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2418",
"city": "JACKSON",
"state": "WY",
"postal_code": "830012418",
"telephone_number": "706-537-4575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 REDMOND ST",
"city": "JACKSON",
"state": "WY",
"postal_code": "830013671",
"telephone_number": "706-537-4575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "EDEN",
"middle_name": "ELIZABETH",
"credential": "MS, RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-23",
"last_updated": "2025-01-29",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD004526",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSING BOARDS",
"identifier": "LD004526",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WYOMING DIETETICS LICENSE",
"identifier": "311",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "86052225",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.