Elizabeth Ann Bates, BS HUMAN NUTRITION

Primary specialty

Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X

License

86113177 Issued in TX

Practice address

527 Tuskegee Airmen Ave
Sheppard Air Force Base, TX 76311

Phone

(904) 504-9555

NPI assigned

Aug 18, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

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.

• Nutrition Therapy

  • Nutritionist
  • Clovis, NM
  • NPI 1154141463
  NPD Authorized official

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1225811581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 TUSKEGEE AIRMEN AIRMEN AVE.",
            "city": "SHEPPARD AIR FORCE BASE",
            "state": "TX",
            "postal_code": "763113478",
            "telephone_number": "904-504-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 TUSKEGEE AIRMEN AVE",
            "city": "SHEPPARD AIR FORCE BASE",
            "state": "TX",
            "postal_code": "76311",
            "telephone_number": "904-504-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "BS HUMAN NUTRITION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "86113177",
            "primary": false
        },
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "TX",
            "license": "86113177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerald Lewis Barnett, D.D.S.
• Dod Sheppard Afb Pharmacy
• Meredith Guenter
• Austin Douglas Solomons, LCSW
• Hallie Sarah Tannahill, PHD
• Melony Vines, PHARM.D.

• Sports Dietetics Nutrition Registered Dietitian in Sheppard Air Force Base, TX
• Providers in Sheppard Air Force Base, TX by specialty
• Sports Dietetics Nutrition Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.