Elora M Bazanele, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT85504 Issued in TX

Practice address

4965 Preston Park Blvd Ste 700
Plano, TX 75093-5141

Phone

(972) 926-3683

Fax

(972) 920-6765

NPI assigned

Jan 10, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 6, 2023 through Dec 6, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Luminary Nutrition LLC

  • Registered Dietitian
  • Plano, TX
  • NPI 1154884088

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1619440856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4965 PRESTON PARK BLVD STE 700",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935141",
            "telephone_number": "972-926-3683",
            "fax_number": "972-920-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4965 PRESTON PARK BLVD STE 700",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935141",
            "telephone_number": "972-926-3683",
            "fax_number": "972-920-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZANELE",
        "first_name": "ELORA",
        "middle_name": "M",
        "credential": "MS, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT85504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baylor Surgicare at Plano Parkway, LLC
• Baylor Surgicare at Plano, LLC
• Bayside Dental of Mesquite PLLC
• Alexandria Bazan
• Frank Andres Bazan, O.D.
• Andrea Bazemore
• BBG Cosmetic and Plastic Surgery
• Bchoi Inc
• BD Anesthesia Associates PLLC
• Allison Beach, MS, RDN, CSR, LD

• Registered Dietitian in Plano, TX
• Providers in Plano, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.