Elizabeth M. Young, PHD, RDN, LD, CLT

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD001959 Issued in GA

Practice address

4678 Cherry Way SE
Marietta, GA 30067-4614

Phone

(770) 364-2652

NPI assigned

Nov 2, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1326411174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4678 CHERRY WAY SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300674614",
            "telephone_number": "770-364-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4678 CHERRY WAY SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300674614",
            "telephone_number": "770-364-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ELIZABETH",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PHD, RDN, LD, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD001959",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT81569",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Youmans
• Young & Tanner, LLC
• Aaron D Young, DC
• Ashley Young, LMT
• Elaine Marie Young, RD
• Gary Blake Young, DO
• Janay Young, RBT
• Jennifer Young, CCC-SLP
• Joshua Young
• Julia Louise Young, LMHC, CCLS

• Registered Dietitian in Marietta, GA
• Providers in Marietta, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.