Elizabeth J Andersen, RD/CDN/CDE
Individual provider Active NPI Registered Dietitian · Irving, NY
NPI 1316995228 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1316995228
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 000482 (NY)
- Practice address
- Cattaraugus Indian Reservation Health Center
36 Thomas Indian School Dr
Irving, NY 14081 - Phone
- (716) 532-5582
- Fax
- (716) 532-1428
- NPI assigned
- May 4, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000482 | NY | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 000482 | NY | |
| Registered Dietitian | 133V00000X | 000482 | NY | Yes |
Addresses
Primary practice location
Cattaraugus Indian Reservation Health Center
36 Thomas Indian School Dr
Irving, NY 14081
Mailing address
Cattaraugus Indian Reservation Health Center
36 Thomas Indian School Dr
Irving, NY 14081
Phone (716) 532-5582
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000628309001 | Other | NY | COMMUNITY BLUE |
Other providers in Irving, NY
- Amirkia Akbari
- Daniel M Astry
- Edgar Lacson Bangsil
- Banjo Catfish Emergency Physician Services PLLC
- Benjamin Ronald Baumler
- Kierra Bleyle
All providers in Irving, NY · Registered Dietitian in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.