Ellareetha Trueblood Carson, RD,LD

Primary specialty

NutritionistTaxonomy code 133N00000X

License

ND2349 Issued in FL

Practice address

2009 W Central Blvd
Orlando, FL 32805-2124

Phone

(407) 872-1333

Fax

(407) 872-7135

NPI assigned

Jan 14, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Ellareetha Trueblood Marshall Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1598096570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4057 E MARYLAND PL",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075262",
            "telephone_number": "407-696-4096",
            "fax_number": "407-696-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 W CENTRAL BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328052124",
            "telephone_number": "407-872-1333",
            "fax_number": "407-872-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "ELLAREETHA",
        "middle_name": "TRUEBLOOD",
        "name_prefix": "Mrs.",
        "credential": "RD,LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "ND2349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLAREETHA",
            "last_name": "MARSHALL",
            "middle_name": "TRUEBLOOD",
            "prefix": "MRS.",
            "credential": "RD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robbie Bryant Carruthers
• Andrea Carson
• Bonnie Neal Carson, MD
• Cecyle Kay Carson, PH.D.
• Elizabeth Camille Carson, CNM
• Rebecca Carson
• Thomas Philip Carson, M.D.
• Tonya Marie Carson, LMT
• Jessica Leigh Carstensen, M.A., CCC/SLP
• David Cartagena

• Nutritionist in Orlando, FL
• Providers in Orlando, FL by specialty
• Nutritionist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.