Active NPI
Elizabeth A Neumann, R.D., L.D.
- Registered Dietitian
- Willow Park, TX
National Provider Identifier
1578745501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT80298
- Practice address
- 110 Pony Express TRL
Willow Park, TX 76087-3132 - Phone
- (817) 995-4677
- NPI assigned
- Nov 30, 2007
- 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 | DT80298 | TX | Primary |
Addresses
Primary practice location
110 Pony Express TRL
Willow Park, TX 76087-3132
Mailing address
110 Pony Express TRL
Willow Park, TX 76087-3132
Phone (817) 995-4677
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194778001 | Medicaid | TX | |
| 8AH959 | Other | TX | BLUE CROSS BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT80298 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Health Assessments LLC | 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 and National Provider Directory roles.
-
- Registered Dietitian
- Denton, TX
- NPI 1497027098
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341273600000",
"number": "1578745501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 PONY EXPRESS TRL",
"city": "WILLOW PARK",
"state": "TX",
"postal_code": "760873132",
"telephone_number": "817-995-4677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 PONY EXPRESS TRL",
"city": "WILLOW PARK",
"state": "TX",
"postal_code": "760873132",
"telephone_number": "817-995-4677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUMANN",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "R.D., L.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-30",
"last_updated": "2012-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT80298",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "194778001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8AH959",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willow Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.