Active NPI
Elizabeth Anna Fleming, R.D.
- Registered Dietitian
- Poughkeepsie, NY
National Provider Identifier
1487957064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1021837
- Practice address
- 560 Van Wagner Rd
Poughkeepsie, NY 12603-1137 - Phone
- (845) 399-1005
- NPI assigned
- Dec 21, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 1021837 | NY | |
| Registered Dietitian | 133V00000X | 1021837 | NY | Primary |
Addresses
Primary practice location
560 Van Wagner Rd
Poughkeepsie, NY 12603-1137
Mailing address
560 Van Wagner Rd
Poughkeepsie, NY 12603-1137
Phone (845) 399-1005
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 |
|---|---|---|---|
| 1021837 | NY | MD | General Acute Care Hospital |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
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": "1292889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1487957064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 VAN WAGNER RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126031137",
"telephone_number": "845-399-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 VAN WAGNER RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126031137",
"telephone_number": "845-399-1005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "ELIZABETH",
"middle_name": "ANNA",
"name_prefix": "Ms.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-21",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NY",
"license": "1021837",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "1021837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.