Active NPI
Elizabeth J Hugo, RDN
- Registered Dietitian
- Coeur d'Alene, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86008440
- Practice address
- 2805 N Honeysuckle Dr
Coeur D Alene, ID 83815-5052 - Phone
- (208) 666-2559
- NPI assigned
- Oct 1, 2013
- Last updated
- Oct 1, 2013
- 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 | 86008440 | ID | Primary |
Addresses
Primary practice location
2805 N Honeysuckle Dr
Coeur D Alene, ID 83815-5052
Mailing address
2805 N Honeysuckle Dr
Coeur D Alene, ID 83815-5052
Phone (208) 666-2559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1125 E Polston Ave
Suite a
Post Falls, ID 83854-6045
Phone (208) 640-4502
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86008440 | ID | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth Hugo RDN LD | Dietitian, Registered | Current | Accepting new patients |
Locations
1110 W Ironwood Dr
Coeur D Alene, ID 83814
Phone (208) 666-0909
1125 E Polston Ave
#A
Post Falls, ID 83854
Phone (208) 457-1540
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380585600000",
"number": "1386071603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 N HONEYSUCKLE DR",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838155052",
"telephone_number": "208-666-2559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 N HONEYSUCKLE DR",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838155052",
"telephone_number": "208-666-2559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGO",
"first_name": "ELIZABETH",
"middle_name": "J",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-01",
"last_updated": "2013-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ID",
"license": "86008440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coeur d'Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.