Active NPI
Elizabeth Michelle Patton, MS, RD, LD
- Registered Dietitian
- Creve Coeur, MO
National Provider Identifier
1477730125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2007013101
- Practice address
- 11628 Old Ballas Rd Ste 213
Creve Coeur, MO 63141-7030 - Phone
- (314) 246-0899
- NPI assigned
- Jan 24, 2008
- 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 | 2007013101 | MO | Primary |
Addresses
Primary practice location
11628 Old Ballas Rd Ste 213
Creve Coeur, MO 63141-7030
Mailing address
11628 Old Ballas Rd
Suite 213
Creve Coeur, MO 63141-7030
Phone (314) 246-0899
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 |
|---|---|---|---|
| 2007013101 | MO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457395200000",
"number": "1477730125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11628 OLD BALLAS RD",
"address_2": "SUITE 213",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631417030",
"telephone_number": "314-246-0899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11628 OLD BALLAS RD STE 213",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631417030",
"telephone_number": "314-246-0899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "ELIZABETH",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-24",
"last_updated": "2016-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2007013101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Creve Coeur, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.