Individual provider Active NPI

Elizabeth Hanawalt, R.D.

  • Registered Dietitian
  • Austin, TX
National Provider Identifier
1508185562
Registry record updated Dec 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT04048 Issued in TX
Practice address
6500 N Mopac
BLDG III, Ste 220
Austin, TX 78731-3282
Phone
(512) 338-4500
Fax
(512) 338-4501
NPI assigned
May 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT04048 TX Primary

Addresses

Primary practice location

6500 N Mopac
BLDG III, Ste 220
Austin, TX 78731-3282

Mailing address

PO Box 500202
Austin, TX 78750-0202
Phone (512) 250-9140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100727000337 TX Practitioner - Registered Dietitian Or Nutrition Professional 5799818837 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT04048TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Assessments LLC Dietitian, Registered CurrentSince Jan 23, 2023 Accepting new patients
Mobile Medical Consultants, PLLC Past Accepting new patients

Locations

2800 Shoreline Dr
Ste 120
Denton, TX 76210
Phone (940) 383-1240

Organizations & group practices 2

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": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419552000000",
    "number": "1508185562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787500202",
            "telephone_number": "512-250-9140",
            "fax_number": "512-250-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 N MOPAC",
            "address_2": "BLDG III, STE 220",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313282",
            "telephone_number": "512-338-4500",
            "fax_number": "512-338-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANAWALT",
        "first_name": "ELIZABETH",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2014-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT04048",
            "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 Dec 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.