Active NPI
Barbara Lynn Elieson, MS RD CD
- Registered Dietitian
- Salt Lake City, UT
National Provider Identifier
1184818536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 708537
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870476269009 | Medicaid | UT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 708537 | UT | MD | Registered 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.