Active NPI
Elizabeth A Sanders, RD, RDN, PA-C
- Medical Physician Assistant
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA200001507
- Practice address
- 1310 Southern Ave SE
Washington, DC 20032-4623 - Phone
- (202) 715-4000
- NPI assigned
- Jul 28, 2014
- Last updated
- Jun 28, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA200001507 | DC | |
| Medical Physician Assistant | 363AM0700X | PA200001507 | DC | Primary |
| Registered Dietitian | 133V00000X | L004347 | NC |
Addresses
Primary practice location
1310 Southern Ave SE
Washington, DC 20032-4623
Mailing address
1100 New Jersey Ave SE Ste 500
Washington, DC 20003-3326
Phone (724) 396-6921
Other practice location 1
208 Foust St
Asheboro, NC 27203-5499
Phone (336) 625-9400
Other practice location 2
1901 D St SE Fl 3
Washington, DC 20003-2534
Phone (202) 698-0400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86053639 | Other | NC | ACADEMY OF NUTRITION AND DIETETICS - RD, RDN |
| L004347 | Other | NC | NC BOARD OF DIETETICS/NUTRITION - LDN |
| PA200001507 | Other | DC | DC DEPARTMENT OF HEALTH, BOARD OF MEDICINE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2228 Martin Luther King Jr Ave SE
Washington, DC 20020-5700
Phone (202) 715-4470
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L004347 | NC | MD | Registered Dietitian |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Washington, DC
- NPI 1508459199
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cedar Hill Regional Medical Center
- General Acute Care Hospital
- Washington, DC
- NPI 1285492892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1558779199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 NEW JERSEY AVE SE STE 500",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200033326",
"telephone_number": "724-396-6921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 SOUTHERN AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200324623",
"telephone_number": "202-715-4000"
}
],
"practiceLocations": [
{
"address_1": "208 Foust St",
"address_purpose": "LOCATION",
"city": "Asheboro",
"state": "NC",
"postal_code": "272035499",
"country_code": "US",
"telephone_number": "336-625-9400",
"fax_number": "336-625-9500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1901 D St SE Fl 3",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200032534",
"country_code": "US",
"telephone_number": "202-698-0400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDERS",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "RD, RDN, PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-28",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DC",
"license": "PA200001507",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "DC",
"license": "PA200001507",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L004347",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACADEMY OF NUTRITION AND DIETETICS - RD, RDN",
"identifier": "86053639",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC BOARD OF DIETETICS/NUTRITION - LDN",
"identifier": "L004347",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC DEPARTMENT OF HEALTH, BOARD OF MEDICINE",
"identifier": "PA200001507",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.