Elizabeth Beeson Walser, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L005896 Issued in NC

Practice address

6371 Jessie LN
Clemmons, NC 27012-9887

Phone

(336) 740-9060

Fax

(336) 740-9659

NPI assigned

Dec 16, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ewalser860075@direct.novanthealth.org

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.

• NH-CL Clinics, LLC

  • Family Medicine Physician
  • Kernersville, NC
  • NPI 1487276499

  NC

  Medicare reassignment NPD
• Triad Care, Inc.

  • Registered Dietitian
  • High Point, NC
  • NPI 1639474760

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1225624059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604050",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604050",
            "telephone_number": "336-740-9060",
            "fax_number": "336-740-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6371 JESSIE LN",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129887",
            "telephone_number": "336-740-9060",
            "fax_number": "336-740-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSER",
        "first_name": "ELIZABETH",
        "middle_name": "BEESON",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L005896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ewalser860075@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "6371 Jessie Ln",
            "city": "Clemmons",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270129887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wal-Mart Stores East LP
• Walgreen Co
• Walgreen Co
• Danielle Sherie Walker, PHARM.D.
• Sarah Elizabeth Walls
• Landon Clark Ward, DPT, PT
• Christopher John Warnimont, MD
• Elyse Jan Watkins
• John Rouse Weathers, M.D.
• Amber R. Weaver, MS, CCC-SLP

• All providers in Clemmons, NC
• Registered Dietitian in North Carolina

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

Verify at the official NPI Registry.