Active NPI
Elizabeth Ann Eckert, R.D.
- Registered Dietitian
- Worcester, MA
National Provider Identifier
1255473567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 293
- Practice address
- 120 Front Street
Suite 440
Worcester, MA 01608 - Phone
- (857) 301-9471
- Fax
- (508) 637-9241
- NPI assigned
- Feb 13, 2007
- Last updated
- Jul 10, 2020
- 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 | 293 | NH | Primary |
Addresses
Primary practice location
120 Front Street
Suite 440
Worcester, MA 01608
Mailing address
120 Front Street
Suite 440
Worcester, MA 01608
Phone (857) 301-9471
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 293 | NH | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594339200000",
"number": "1255473567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 FRONT STREET",
"address_2": "SUITE 440",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01608",
"telephone_number": "857-301-9471",
"fax_number": "508-637-9241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 FRONT STREET",
"address_2": "SUITE 440",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01608",
"telephone_number": "857-301-9471",
"fax_number": "508-637-9241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKERT",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NH",
"license": "293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.