Individual provider Active NPI

Elizabeth Knostman, RDN,LD

  • Registered Dietitian
  • Dayton, OH
National Provider Identifier
1619733193
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
2555 S Dixie Dr
Dayton, OH 45409-1539
Phone
(937) 220-6611
Fax
(937) 224-0240
NPI assigned
Feb 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

2555 S Dixie Dr
Dayton, OH 45409-1539

Mailing address

2555 S Dixie Dr
Dayton, OH 45409-1539
Phone (937) 220-6611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240406000194 OH Practitioner - Registered Dietitian Or Nutrition Professional 5092153262 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecare Alliance Dietitian, Registered CurrentSince Feb 18, 2024 Accepting new patients
Lifecare Alliance CurrentSince Feb 18, 2024 Accepting new patients

Locations

1699 W Mound St
Columbus, OH 43223
Phone (614) 278-3130

2555 S Dixie Dr
Ste 112
Dayton, OH 45409
Phone (937) 220-6611

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1619733193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 S DIXIE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091539",
            "telephone_number": "937-220-6611",
            "fax_number": "937-224-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 S DIXIE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091539",
            "telephone_number": "937-220-6611",
            "fax_number": "937-224-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOSTMAN",
        "first_name": "ELIZABETH",
        "credential": "RDN,LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.