Elliott Evans Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

925537 Issued in VA

Legal business name

ELLIOTT EVANS NUTRITION, LLC

Practice address

7229 Forest Ave
Suite 107
Richmond, VA 23226-3765

Phone

(804) 339-3200

NPI assigned

Nov 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jan Elliott Evans, PHD, RD, FAND

Title

Clinical Dietitian; Ceo

Phone

(804) 339-3200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1356714059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7229 FOREST AVE",
            "address_2": "SUITE 107",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7229 FOREST AVE",
            "address_2": "SUITE 107",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263765",
            "telephone_number": "804-339-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTT EVANS NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "ELLIOTT",
        "authorized_official_title_or_position": "CLINICAL DIETITIAN; CEO",
        "authorized_official_telephone_number": "804-339-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, RD, FAND"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "925537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Eller, MD
• Henry M Ellett, MD
• Michele Lynn Ellett, CPNP
• Susan E. Ellett, PH.D.
• Meghan Ellinghausen
• Tracy Lynn Elliott-Jones, LCSW
• Berkeley Elliott, MSW, LCSW
• Carol Anne Elliott, OTR
• Charmaine Elliott, MD
• David C Elliott, M.D.

• Registered Dietitian in Richmond, VA
• Providers in Richmond, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.