Active NPI
Elizabeth Barnett Boebel, RD
- Registered Dietitian
- Austin, TX
National Provider Identifier
1497170922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT82978
- Practice address
- 1703 Manana St
Austin, TX 78730-4237 - Phone
- (512) 750-2348
- NPI assigned
- Feb 20, 2014
- 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 | DT82978 | TX | Primary |
Addresses
Primary practice location
1703 Manana St
Austin, TX 78730-4237
Mailing address
1703 Manana St
Austin, TX 78730-4237
Phone (512) 750-2348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 29, 2021 through Jun 29, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT82978 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Path Food Consulting, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
1713 Fortview Rd
Austin, TX 78704
Phone (512) 240-2909
1825 Fortview Rd
Ste 114
Austin, TX 78704
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": "1392854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586822400000",
"number": "1497170922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1703 MANANA ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787304237",
"telephone_number": "512-750-2348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 MANANA ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787304237",
"telephone_number": "512-750-2348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNETT BOEBEL",
"first_name": "ELIZABETH",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-20",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT82978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.