Elizabeth J Taylor, RD, LD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

720205 Issued in MA

Practice address

42 Weston St
Waltham Diabetes Center Suite 8
Waltham, MA 02453-7756

Phone

(781) 647-7220

Fax

(781) 894-1101

NPI assigned

Aug 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Waltham Diabetes Center, LLC

  • Specialist
  • Waltham, MA
  • NPI 1851584379

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1093908519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 WESTON ST",
            "address_2": "WALTHAM DIABETES CENTER SUITE 8",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024537756",
            "telephone_number": "781-647-7220",
            "fax_number": "781-894-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 WESTON ST",
            "address_2": "WALTHAM DIABETES CENTER SUITE 8",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024537756",
            "telephone_number": "781-647-7220",
            "fax_number": "781-894-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "RD, LD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "720205",
            "primary": true
        },
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan H Talamo, MD
• Tam Tang and Sham PC (Waltham Dental Center)
• Karen Tanso
• Lee Ann Tata, NP
• Diana Taylor, LCSW
• Erika Farrell Taylor, NP
• Geraldine Sarah Taylor, NP
• Alexandra Tedesco
• Sarah Elizabeth Teeven, LICSW
• Melanie Teixeira

• Registered Dietitian in Waltham, MA
• Providers in Waltham, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.