Ali Elliott, MS, RD, LD

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

964618 Issued in AL

Practice address

2925 Virginia Rd
Mountain BRK, AL 35223-1253

Phone

(205) 704-1641

NPI assigned

May 5, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Thrive Pediatric Nutrition Specialists, Inc

  • Pediatric Nutrition Registered Dietitian
  • Mountain BRK, AL
  • NPI 1265889612

  Nutrition, Pediatric

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1477930857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 VIRGINIA RD",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352231253",
            "telephone_number": "205-704-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 VIRGINIA RD",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352231253",
            "telephone_number": "205-704-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "ALI",
        "credential": "MS, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "AL",
            "license": "964618",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "964618",
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "AL",
            "license": "964618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dunn Dental Care, PC
• Carmen Ritchie Echols
• Ladonna Edwards, MSN,CRNP
• Ellie Mental Health - North Central Alabama LLC
• Adam Elliott, MA, ADC, ALC
• Jordan Christine Elliott
• Kathryn Juneman Ely, ALC
• Emily Sanderson Counseling
• Empower Counseling LLC
• William Allen Engle, DPT

• Pediatric Nutrition Registered Dietitian in Mountain BRK, AL
• Providers in Mountain BRK, AL by specialty
• Pediatric Nutrition Registered Dietitian in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.