Active NPI
Elizabeth Jean Stevens, RD, LD
- Registered Dietitian
- Minneapolis, MN
National Provider Identifier
1255587317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2477
- Practice address
- 701 Park Ave
Hennepin County Medical Center
Minneapolis, MN 55415-1623 - Phone
- (612) 873-3623
- NPI assigned
- Aug 8, 2008
- 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 | 2477 | MN | Primary |
Addresses
Primary practice location
701 Park Ave
Hennepin County Medical Center
Minneapolis, MN 55415-1623
Mailing address
701 Park Avenue South - LSB1
Hennepin County Medical Center
Minneapolis, MN 55415
Phone (612) 873-3044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 898265 | Other | ADA/CDR |
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 |
|---|---|---|---|
| 2477 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218153600000",
"number": "1255587317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 PARK AVENUE SOUTH - LSB1",
"address_2": "HENNEPIN COUNTY MEDICAL CENTER",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55415",
"telephone_number": "612-873-3044",
"fax_number": "612-630-8242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 PARK AVE",
"address_2": "HENNEPIN COUNTY MEDICAL CENTER",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554151623",
"telephone_number": "612-873-3623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "ELIZABETH",
"middle_name": "JEAN",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-08",
"last_updated": "2008-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "2477",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADA/CDR",
"identifier": "898265",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.