Individual provider Active NPI

Elena Padilla Garza, RD

  • Registered Dietitian
  • Cambridge, MA
National Provider Identifier
1194594689
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
2 Leighton St Apt 415
Cambridge, MA 02141-3008
Phone
(617) 610-0172
NPI assigned
Dec 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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 Primary

Addresses

Primary practice location

2 Leighton St Apt 415
Cambridge, MA 02141-3008

Mailing address

2 Leighton St Apt 415
Cambridge, MA 02141-3008
Phone (617) 610-0172

Other identifiers 1

IdentifierTypeStateIssuer
LDN5519OtherMAOFFICE OF HEALTH AND HUMAN SERVICES

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": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1194594689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LEIGHTON ST APT 415",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021413008",
            "telephone_number": "617-610-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LEIGHTON ST APT 415",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021413008",
            "telephone_number": "617-610-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA GARZA",
        "first_name": "ELENA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF HEALTH AND HUMAN SERVICES",
            "identifier": "LDN5519",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.