Individual provider Active NPI

Elizabeth Jaramillo Lopez, R.D., L.D.

  • Registered Dietitian
  • Santa Fe, NM
National Provider Identifier
1114287851
Registry record updated May 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD0661 Issued in NM
Practice address
3451 Via Brisa
Santa Fe, NM 87507-9620
Phone
(575) 491-2684
NPI assigned
May 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2012

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 LD0661 NM Primary

Addresses

Primary practice location

3451 Via Brisa
Santa Fe, NM 87507-9620

Mailing address

3451 Via Brisa
Santa Fe, NM 87507-9620
Phone (575) 491-2684

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

State licenses

LicenseStateTypeSpecialty
LD0661NMMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1338163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338163200000",
    "number": "1114287851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 VIA BRISA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875079620",
            "telephone_number": "575-491-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 VIA BRISA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875079620",
            "telephone_number": "575-491-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARAMILLO LOPEZ",
        "first_name": "ELIZABETH",
        "credential": "R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-28",
        "last_updated": "2012-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NM",
            "license": "LD0661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2012; 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.