Individual provider Active NPI

Barbara Lynn Elieson, MS RD CD

  • Registered Dietitian
  • Salt Lake City, UT
National Provider Identifier
1184818536
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
708537 Issued in UT
Practice address
30 N 1900 E
RM 1B398
Salt Lake City, UT 84132-0006
Phone
(801) 581-3729
Fax
(801) 585-2365
NPI assigned
Aug 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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 708537 UT Primary

Addresses

Primary practice location

30 N 1900 E
RM 1B398
Salt Lake City, UT 84132-0006

Mailing address

30 N 1900 E
RM 1B398
Salt Lake City, UT 84132-0002
Phone (801) 581-3729

Other identifiers 1

IdentifierTypeStateIssuer
870476269009MedicaidUT

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
708537UTMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1184818536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N 1900 E",
            "address_2": "RM 1B398",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320002",
            "telephone_number": "801-581-3729",
            "fax_number": "801-585-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 1900 E",
            "address_2": "RM 1B398",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320006",
            "telephone_number": "801-581-3729",
            "fax_number": "801-585-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIESON",
        "first_name": "BARBARA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MS RD CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "708537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870476269009",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.