Active NPI
Christine Elkhoury, RD, LDN
- Registered Dietitian
- Bloomfield Hills, MI
National Provider Identifier
1487153995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164006144
- Practice address
- 43902 Woodward Ave
Bloomfield Hills, MI 48302-5011 - Phone
- (248) 798-2942
- NPI assigned
- Feb 9, 2018
- 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 | 164006144 | IL | Primary |
Addresses
Primary practice location
43902 Woodward Ave
Bloomfield Hills, MI 48302-5011
Mailing address
1142 Crescent St NE
Grand Rapids, MI 49503-3622
Phone (847) 809-7398
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164006144 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518134400000",
"number": "1487153995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1142 CRESCENT ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495033622",
"telephone_number": "847-809-7398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43902 WOODWARD AVE",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483025011",
"telephone_number": "248-798-2942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKHOURY",
"first_name": "CHRISTINE",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-09",
"last_updated": "2018-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164006144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.