Active NPI
Heather Elia, RD, RDN
- Registered Dietitian
- Birmingham, MI
National Provider Identifier
1558877613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86074333
- Practice address
- 950 E Maple Rd Ste L10
Birmingham, MI 48009-6482 - Phone
- (248) 701-9979
- NPI assigned
- Dec 26, 2017
- 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 | 86074333 | MI | Primary |
Addresses
Primary practice location
950 E Maple Rd Ste L10
Birmingham, MI 48009-6482
Mailing address
6642 Leytonstone Blvd
West Bloomfield, MI 48322-1200
Phone (248) 701-9979
Other practice location 1
6642 Leytonstone Blvd
West Bloomfield, MI 48322-1200
Phone (248) 701-9979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86074333 | MI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evo Body Image, LLC | Dietitian, Registered | Current | Accepting new patients |
| Heather Elia RDN | Dietitian, Registered | Current | Accepting new patients |
Locations
950 E Maple Rd
Ste L10
Birmingham, MI 48009
Phone (248) 595-2363
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": "1514246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1558877613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6642 LEYTONSTONE BLVD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483221200",
"telephone_number": "248-701-9979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 E MAPLE RD STE L10",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480096482",
"telephone_number": "248-701-9979"
}
],
"practiceLocations": [
{
"address_1": "6642 Leytonstone Blvd",
"address_purpose": "LOCATION",
"city": "West Bloomfield",
"state": "MI",
"postal_code": "483221200",
"country_code": "US",
"telephone_number": "248-701-9979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELIA",
"first_name": "HEATHER",
"credential": "RD, RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-26",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "86074333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.