Active NPI
Elaine Beville, MS, RD, LDN
- Registered Dietitian
- Jacksonville, FL
National Provider Identifier
1437503489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND 5679
- Practice address
- 13720 Old Saint Augustine Rd
Ste 8-260
Jacksonville, FL 32258-7414 - Phone
- (904) 513-8892
- NPI assigned
- Apr 15, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | ND 5679 | FL | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | ND 5679 | FL | |
| Nutrition Education Nutritionist | 133NN1002X | ND 5679 | FL | |
| Registered Dietitian | 133V00000X | ND 5679 | FL | Primary |
Addresses
Primary practice location
13720 Old Saint Augustine Rd
Ste 8-260
Jacksonville, FL 32258-7414
Mailing address
13720 Old Saint Augustine Rd
Ste 8-260
Jacksonville, FL 32258-7414
Phone (904) 513-8892
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
| License | State | Type | Specialty |
|---|---|---|---|
| ND 5679 | FL | MD | Nutrition Education Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eb-Wellness PLLC | Nutritionist | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461628800000",
"number": "1437503489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13720 OLD SAINT AUGUSTINE RD",
"address_2": "STE 8-260",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322587414",
"telephone_number": "904-513-8892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13720 OLD SAINT AUGUSTINE RD",
"address_2": "STE 8-260",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322587414",
"telephone_number": "904-513-8892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEVILLE",
"first_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "MS, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-15",
"last_updated": "2016-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "FL",
"license": "ND 5679",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "FL",
"license": "ND 5679",
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "FL",
"license": "ND 5679",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND 5679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.