Active NPI
Elizabeth Simmons Sellers, RDN
- Registered Dietitian
- Homewood, AL
National Provider Identifier
1114510450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2636
- Practice address
- 308 Gran Ave
Homewood, AL 35209-4120 - Phone
- (706) 614-9498
- NPI assigned
- Feb 18, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 2636 | AL | Primary |
Addresses
Primary practice location
308 Gran Ave
Homewood, AL 35209-4120
Mailing address
308 Gran Ave
Homewood, AL 35209-4120
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1114510450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 GRAN AVE",
"city": "HOMEWOOD",
"state": "AL",
"postal_code": "352094120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 GRAN AVE",
"city": "HOMEWOOD",
"state": "AL",
"postal_code": "352094120",
"telephone_number": "706-614-9498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLERS",
"first_name": "ELIZABETH",
"middle_name": "SIMMONS",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-18",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "2636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homewood, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.