Individual provider Active NPI

Elizabeth Claire Stephens, MS/RD/LD

  • Nutritionist
  • Tuscaloosa, AL
National Provider Identifier
1336380542
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
333 Issued in AL
Practice address
1110 Dr. Edward Hillard Drive
Tuscaloosa, AL 35403-2817
Phone
(205) 759-1279
Fax
(205) 344-4072
NPI assigned
Mar 18, 2009
Last updated
Mar 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 333 AL Primary

Addresses

Primary practice location

1110 Dr. Edward Hillard Drive
Tuscaloosa, AL 35403-2817

Mailing address

1110 Dr. Edward Hillard Drive
Tuscaloosa, AL 35403-2817
Phone (205) 759-1279

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
333ALMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1336380542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 DR. EDWARD HILLARD DRIVE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354032817",
            "telephone_number": "205-759-1279",
            "fax_number": "205-344-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 DR. EDWARD HILLARD DRIVE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354032817",
            "telephone_number": "205-759-1279",
            "fax_number": "205-344-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "ELIZABETH",
        "middle_name": "CLAIRE",
        "credential": "MS/RD/LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "AL",
            "license": "333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.