Active NPI
Elizabeth C Tarabour, RD
- Registered Dietitian
- Mandeville, LA
National Provider Identifier
1235532029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2944
- Practice address
- 315 Shady Oak LN
Mandeville, LA 70471-2505 - Phone
- (619) 602-5199
- NPI assigned
- Oct 7, 2014
- Last updated
- Aug 15, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1036563 | CA | |
| Registered Dietitian | 133V00000X | 2944 | LA | Primary |
Addresses
Primary practice location
315 Shady Oak LN
Mandeville, LA 70471-2505
Mailing address
315 Shady Oak LN
Mandeville, LA 70471-2505
Phone (619) 602-5199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1036563 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Diabetes Tutor Inc | Current | Accepting new patients | |
| Liz Tarabour Nutrition | Dietitian, Registered | Current | Accepting new patients |
| My Diabetes Tutor Inc | Dietitian, Registered | Current | Accepting new patients |
Locations
515 W Grangeville Blvd
Hanford, CA 93230
Phone (559) 587-1100
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1235532029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 SHADY OAK LN",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704712505",
"telephone_number": "619-602-5199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 SHADY OAK LN",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704712505",
"telephone_number": "619-602-5199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARABOUR",
"first_name": "ELIZABETH",
"middle_name": "C",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-07",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1036563",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "2944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.