Individual provider Active NPI

Elizabeth Stankis, R.D.

  • Registered Dietitian
  • Palm Desert, CA
National Provider Identifier
1255737086
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
74818 Velie Way Ste 12
Palm Desert, CA 92260-1924
Phone
(805) 801-0122
NPI assigned
Nov 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

74818 Velie Way Ste 12
Palm Desert, CA 92260-1924

Mailing address

78365 Highway 111 # 285
La Quinta, CA 92253-2071
Phone (805) 801-0122

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

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Nutrition and Wellness Dietitian, Registered CurrentSince May 16, 2021 Accepting new patients

Locations

78365 Highway 111
La Quinta, CA 92253
Phone (760) 217-0955

74818 Velie Way
Ste 12
Palm Desert, CA 92260
Phone (760) 702-6394

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1255737086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78365 HIGHWAY 111 # 285",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532071",
            "telephone_number": "805-801-0122",
            "fax_number": "760-300-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74818 VELIE WAY STE 12",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601924",
            "telephone_number": "805-801-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANKIS",
        "first_name": "ELIZABETH",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.