Active NPI
Elizabeth Anne Lelong, RD
- Registered Dietitian
- Lyons, CO
National Provider Identifier
1568673200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- NA
- Practice address
- 539 Prospect St #1685
Lyons, CO 80540-1685 - Phone
- (808) 393-8336
- NPI assigned
- May 24, 2007
- Last updated
- May 9, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NA | Primary |
Addresses
Primary practice location
539 Prospect St #1685
Lyons, CO 80540-1685
Mailing address
539 Prospect St #1685
Lyons, CO 80540-1685
Phone (808) 393-8336
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1568673200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 PROSPECT ST #1685",
"city": "LYONS",
"state": "CO",
"postal_code": "805401685",
"telephone_number": "808-393-8336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "539 PROSPECT ST #1685",
"city": "LYONS",
"state": "CO",
"postal_code": "805401685",
"telephone_number": "808-393-8336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LELONG",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2024-05-09",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "NA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lyons, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.