Active NPI
Elizabeth Marie Donisch, MA, RDN, LD
- Registered Dietitian
- Wheaton, IL
National Provider Identifier
1437633476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 37002085A
- Practice address
- 1288 Salford CT.
Wheaton, IL 60189 - Phone
- (812) 360-8348
- NPI assigned
- Sep 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 37002085A | IN | Primary |
Addresses
Primary practice location
1288 Salford CT.
Wheaton, IL 60189
Mailing address
1288 Salford CT.
Wheaton, IL 60189
Phone (812) 360-8348
Other names 1
- Elizabeth Marie Billingsley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
19 W 24TH St
FL 4
New York, NY 10010-3239
2435 Polk St
San Francisco, CA 94109-1679
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37002085A | IN | MD | Registered Dietitian |
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": "1536969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1437633476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1288 SALFORD CT.",
"city": "WHEATON",
"state": "IL",
"postal_code": "60189",
"telephone_number": "812-360-8348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1288 SALFORD CT.",
"city": "WHEATON",
"state": "IL",
"postal_code": "60189",
"telephone_number": "812-360-8348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONISCH",
"first_name": "ELIZABETH",
"middle_name": "MARIE",
"credential": "MA, RDN, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-15",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "37002085A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "BILLINGSLEY",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.