Active NPI
Elizabeth Misi
- Registered Dietitian
- Rancho Mirage, CA
National Provider Identifier
1356990287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86097486
- Practice address
- 39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221 - Phone
- (760) 340-2911
- NPI assigned
- Sep 4, 2019
- Last updated
- Sep 4, 2019
- 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 | 86097486 | FL | Primary |
Addresses
Primary practice location
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Mailing address
1117 Jasper CT
San Marcos, CA 92078-1160
Phone (619) 210-9892
Other names 1
- Elizabeth Johnson
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86097486 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1356990287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 JASPER CT",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920781160",
"telephone_number": "619-210-9892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39000 BOB HOPE DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703221",
"telephone_number": "760-340-2911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISI",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-04",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "86097486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "JOHNSON",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rancho Mirage, CA
- Mirage Pain and Rehabilitation Associates a Medical Group, Inc. (Desert Pain & Rehabilitation Associates)
- Mirage Physical Therapy, Inc
- Mirage Surgery Center
- Esmeralda Miranda
- Farshid Mirzaee, MD
- Mission Home Health of Rancho Mirage, Inc.
- Mission Hospice Services of Rancho Mirage, LLC
- Mission Nursing Anesthesia, Inc
- Jessica A. Mitchell, NP
- Sheri J Mitchell, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.