Elementary Nutrition

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

ELEMENTARY NUTRITION

Doing business as

Elementary Nutrition

Practice address

609 Mingus Ave
Prescott, AZ 86301-1030

Phone

(623) 363-4337

NPI assigned

Mar 7, 2023

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Norman, RND, CNSCNPI 1609590595

Title

Owner

Phone

(623) 363-4337

Specialties & licenses 1

Addresses

Other names 1

• Elementary Nutrition Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Norman, RDN, CNSC

  • Registered Dietitian
  • Prescott, AZ
  • NPI 1609590595

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1609576727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 MINGUS AVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011030",
            "telephone_number": "623-363-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 MINGUS AVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011030",
            "telephone_number": "623-363-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTARY NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-363-4337",
        "authorized_official_credential": "RND, CNSC"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elementary Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy Glenn Eikom
• Cynthia D Eis, LPC
• Abdulbage El Siddig
• Mohammad-Ali El-Harakeh, MD
• Ashraf Elamin
• James D. Eliason, M.D.
• Amanda Joan Eliseo, LPC
• Elite Diagnostics
• Joshua L. Elkin, MD
• Ellen F Bunch MD PLLC

• Registered Dietitian in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.