Active NPI
Elisa Lynn Harman, RD, LD
- Registered Dietitian
- Grinnell, IA
National Provider Identifier
1356366199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01705
- Practice address
- 210 4TH Ave
Grinnell, IA 50112-1898 - Phone
- (641) 236-2435
- Fax
- (641) 236-2984
- NPI assigned
- Jul 13, 2006
- 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 | 01705 | IA | Primary |
Addresses
Primary practice location
210 4TH Ave
Grinnell, IA 50112-1898
Mailing address
210 S Prairie View Dr
Apt #937
West Des Moines, IA 50266-6916
Phone (515) 460-5583
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 |
|---|---|---|---|
| 01705 | IA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356366199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 S PRAIRIE VIEW DR",
"address_2": "APT #937",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502666916",
"telephone_number": "515-460-5583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 4TH AVE",
"city": "GRINNELL",
"state": "IA",
"postal_code": "501121898",
"telephone_number": "641-236-2435",
"fax_number": "641-236-2984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMAN",
"first_name": "ELISA",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "01705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grinnell, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.