NPIMap

Organization Active NPI

Elly Wilson

  • Registered Dietitian
  • Columbus, OH
National Provider Identifier
1093399016
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
ELLY WILSON
Practice address
937 S 3Rd St Apt a
Columbus, OH 43206-2542
Phone
(614) 304-1857
NPI assigned
May 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Wilson, RDNPI 1942836556
Title
Dietitian
Phone
(614) 304-1857

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

937 S 3Rd St Apt a
Columbus, OH 43206-2542

Mailing address

937 S 3Rd St Apt a
Columbus, OH 43206-2542
Phone (419) 206-9531

Other identifiers 1

IdentifierTypeStateIssuer
1942836556OtherOHNPI

Other names 1

  • Elly Wilson Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1093399016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 S 3RD ST APT A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432062542",
            "telephone_number": "419-206-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 S 3RD ST APT A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432062542",
            "telephone_number": "614-304-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLY WILSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "614-304-1857",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1942836556",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elly Wilson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.