Elizabeth Charlene Morien, DTR

Primary specialty

Registered Dietetic TechnicianTaxonomy code 136A00000X

License

925893 Issued in WI

Practice address

201 N Mayfair Rd
Wauwatosa, WI 53226-4216

Phone

(262) 785-2155

NPI assigned

May 2, 2018

Last updated

May 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1518456938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 N 64TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132028",
            "telephone_number": "262-989-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MAYFAIR RD",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264216",
            "telephone_number": "262-785-2155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19333 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530454132",
            "country_code": "US",
            "telephone_number": "262-785-2155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORIEN",
        "first_name": "ELIZABETH",
        "middle_name": "CHARLENE",
        "credential": "DTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": "WI",
            "license": "925893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Catherine Moral
• Adrienne Michelle Moran, FNP-BC
• Morfey's Limbs & Braces Inc
• Shalia Morgan
• Bradley Bertram Morgen, DDS
• Adam Nelson Moriwaki, PSY.D.
• Hilton Morris
• Morrish Awakenings LLC
• Stephen Andrew Moskop
• Sheryl L Moss, M.D.

• Registered Dietetic Technician in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Registered Dietetic Technician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.