Nutrition Therapy

Primary specialty

NutritionistTaxonomy code 133N00000X

Legal business name

NUTRITION THERAPY

Practice address

2406 E Llano Estacado Blvd Apt G
Clovis, NM 88101-3999

Phone

(904) 504-5955

NPI assigned

Oct 11, 2024

Organization subpart

No

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

Authorized official

Name

Elizabeth Bates, RDNPI 1225811581

Title

Registered Dietitian

Phone

(904) 504-5955

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Elizabeth Ann Bates, BS HUMAN NUTRITION

  • Sports Dietetics Nutrition Registered Dietitian
  • Sheppard Air Force Base, TX
  • NPI 1225811581
  NPD Authorized official

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1154141463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 E LLANO ESTACADO BLVD APT 2406-G",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881013974",
            "telephone_number": "904-504-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 E LLANO ESTACADO BLVD APT G",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881013999",
            "telephone_number": "904-504-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "904-504-5955",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Sue Norton, COTA L
• Justine Nicole Nunez, APRN-CNP
• Nursing Mama LLC
• Nurstead Consulting Services, LLC
• Verna Nussbaumer
• Justin Dean Nutt, LSCSW, LCSW, LCSW,-S
• Julie Anna O'Quinn, DDS
• Oak Medical Practice, P.C.
• Obhg New Mexico PC
• Samantha Yaritza Ochoa

• Nutritionist in Clovis, NM
• Providers in Clovis, NM by specialty
• Nutritionist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.