Individual provider Active NPI

Elizabeth Reed, MPH, RDN, CNSC, LD

  • Metabolic Nutrition Registered Dietitian
  • Boulder, CO
National Provider Identifier
1477044121
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
725740
Practice address
2105 Stony Hill Rd
Boulder, CO 80305-6828
Phone
(303) 875-7347
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 725740
Nutrition Education Nutritionist 133NN1002X 725740
Registered Dietitian 133V00000X 725740
Metabolic Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1006X 725740 NM
Metabolic Nutrition Registered Dietitian 133VN1006X 725740 Primary

Addresses

Primary practice location

2105 Stony Hill Rd
Boulder, CO 80305-6828

Mailing address

2105 Stony Hill Rd
Boulder, CO 80305-6828
Phone (303) 875-7347

Other identifiers 4

IdentifierTypeStateIssuer
7813360OtherTHE NATIONAL BOARD OF NUTRITION SUPPORT CERTIFICATION
LD-1298OtherNMSTATE OF NUEW MEXICO REGULATIONS & LICENSING DEPART NUTRITION AND DIETETICS PRAC
725740OtherACADEMY OF NUTRITION AND DIETETICS
873914MedicaidNM

Other names 1

  • Elizabeth Palmer-Reed Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ElizabethReed@Apple-a-DayNutrition.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240208002296 TX Practitioner - Registered Dietitian Or Nutrition Professional 4688006984 Reassigns benefits to 1 organization
I20240409000716 CO Practitioner - Registered Dietitian Or Nutrition Professional 4688006984 Practice locations: Boulder, CO

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nourish, Inc.Group PAC ID 1557724937, 288 clinicians

Practice addresses (Care Compare)

3724 Jefferson St
Suite 104
Austin, TX 78731-6204
Phone (512) 693-7045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
725740NMMDMetabolic Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish, Inc. Dietitian, Registered CurrentSince Dec 27, 2023 Accepting new patients

Locations

515 S Flower St
#1015
Los Angeles, CA 90071

525 N Tryon St
Ste 1600
Charlotte, NC 28202
Phone (855) 478-8208

500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039

2825 E Cottonwood Pkwy
Ste 500
Salt Lake Cty, UT 84121
Phone (801) 653-3111

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": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1477044121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 STONY HILL RD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803056828",
            "telephone_number": "303-875-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 STONY HILL RD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803056828",
            "telephone_number": "303-875-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "ELIZABETH",
        "credential": "MPH, RDN, CNSC, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": "725740",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": "725740",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "725740",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NM",
            "license": "725740",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": null,
            "license": "725740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE NATIONAL BOARD OF NUTRITION SUPPORT CERTIFICATION",
            "identifier": "7813360",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NUEW MEXICO REGULATIONS & LICENSING DEPART NUTRITION AND DIETETICS PRAC",
            "identifier": "LD-1298",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACADEMY OF NUTRITION AND DIETETICS",
            "identifier": "725740",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "873914",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ElizabethReed@Apple-a-DayNutrition.com",
            "affiliation": "N",
            "endpointDescription": "Contact Name at Apple A Day Nutrition Consulting LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Nutrition Education Materials",
            "address_1": "2105 Stony Hill Rd",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803056828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "PALMER-REED",
            "credential": "MPH, RDN, CNSC, LD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.

Verify at the official NPI Registry.