Active NPI
Eloisa Mena, MS, RDN, LD
- Registered Dietitian
- Las Cruces, NM
National Provider Identifier
1629424908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT83924
- Practice address
- 2806 Valle Grande
Las Cruces, NM 88005-3960 - Phone
- (915) 253-1831
- NPI assigned
- May 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | DT83924 | TX | Primary |
Addresses
Primary practice location
2806 Valle Grande
Las Cruces, NM 88005-3960
Mailing address
2806 Valle Grande
Las Cruces, NM 88005-3960
Phone (915) 253-1831
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT83924 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462406400000",
"number": "1629424908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2806 VALLE GRANDE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053960",
"telephone_number": "915-253-1831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2806 VALLE GRANDE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053960",
"telephone_number": "915-253-1831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENA",
"first_name": "ELOISA",
"name_prefix": "Ms.",
"credential": "MS, RDN, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-05",
"last_updated": "2016-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT83924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.