Active NPI
Elizabeth Casparro
- Registered Dietitian
- Santa Maria, CA
National Provider Identifier
1174741730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 954663
- Practice address
- 2125 Centerpointe Pkwy
Suite 302
Santa Maria, CA 93455-1337 - Phone
- (805) 346-8453
- NPI assigned
- Apr 20, 2007
- 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 | 954663 | CA | Primary |
Addresses
Primary practice location
2125 Centerpointe Pkwy
Suite 302
Santa Maria, CA 93455-1337
Mailing address
300 N San Antonio Rd
Santa Barbara, CA 93110-1316
Phone (805) 681-5461
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 954663 | Other | CA | RD REGISTRATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 954663 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marlena Tanner, RDN, LLC | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174741730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N SAN ANTONIO RD",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931101316",
"telephone_number": "805-681-5461",
"fax_number": "805-681-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 CENTERPOINTE PKWY",
"address_2": "SUITE 302",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934551337",
"telephone_number": "805-346-8453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASPARRO",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "954663",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RD REGISTRATION",
"identifier": "954663",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.