Active NPI
Elizabeth Morris, MS, RD, CNSC, CD-N
- Registered Dietitian
- New Haven, CT
National Provider Identifier
1225508781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 001385
- Practice address
- 157 Church St FL 19
New Haven, CT 06510-2100 - Phone
- (475) 319-4067
- NPI assigned
- Nov 27, 2018
- 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 | 001385 | CT | Primary |
Addresses
Primary practice location
157 Church St FL 19
New Haven, CT 06510-2100
Mailing address
28 Sunset Ave
Milford, CT 06460-5452
Phone (475) 319-4067
Other practice location 1
28 Sunset Ave
Milford, CT 06460-5452
Phone (516) 993-4595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190927000220 | CT | Practitioner - Registered Dietitian Or Nutrition Professional | 3577893932 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001385 | CT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1225508781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 SUNSET AVE",
"city": "MILFORD",
"state": "CT",
"postal_code": "064605452",
"telephone_number": "475-319-4067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 CHURCH ST FL 19",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065102100",
"telephone_number": "475-319-4067"
}
],
"practiceLocations": [
{
"address_1": "28 Sunset Ave",
"address_purpose": "LOCATION",
"city": "Milford",
"state": "CT",
"postal_code": "064605452",
"country_code": "US",
"telephone_number": "516-993-4595",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORRIS",
"first_name": "ELIZABETH",
"credential": "MS, RD, CNSC, CD-N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-27",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "001385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.