Elise Felan, MPH, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT87400 Issued in TX

Practice address

3206 Longmire Dr Ste A7
College Station, TX 77845-5858

Phone

(936) 337-3223

NPI assigned

Dec 16, 2024

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

Enrolled in TX

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

University of North Carolina at Chapel Hill School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Basic Balance Nutrition, Inc.Group PAC ID 3678838513, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Basic Balance Nutrition, Inc.

  • Registered Dietitian
  • Huntsville, TX
  • NPI 1629582796

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Dietitian Direct Inc

  • Registered Dietitian
  • South Plainfield, NJ
  • NPI 1760654180

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1518774272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 LONGMIRE DR STE A7",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455858",
            "telephone_number": "936-337-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 LONGMIRE DR STE A7",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455858",
            "telephone_number": "936-337-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELAN",
        "first_name": "ELISE",
        "credential": "MPH, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT87400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Faulkner
• Sahar Fayad, RD, LD, CDCES
• Robert Scott Feaster, M.D.
• Sheree Fedder, NNP
• Rebecca Carol Fehrenkamp, LMT
• Sabra Susanne Ferguson, M.S.
• Jeanette Ferrer, D.O
• Darragh Elizabetta Fertitta, MS, CCC-SLP
• James Christopher Fine, CRNA
• Tami Neal Fink, M.D.

• Registered Dietitian in College Station, TX
• Providers in College Station, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.