Elizabeth Mammina, RD, LDN, CDES

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN004383 Issued in PA

Practice address

2150 Harrisburg Pike
Suite 300
Lancaster, PA 17601-2644

Phone

(717) 544-3949

NPI assigned

Mar 10, 2014

Last updated

Mar 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in PA, FL2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Lee Health System Inc

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1942058557
  Medicare reassignment NPD
• Lee Memorial Health System

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1992873319
  Medicare reassignment NPD
• Lancaster General Hospital

  dba LG Health Nurse Practitioners

  • Hospitalist Physician
  • Lancaster, PA
  • NPI 1487904769
  Medicare reassignment
• Lee Health System Inc

  dba Lee Health Specialty Pharmacy

  • Community/Retail Pharmacy
  • Bonita Springs, FL
  • NPI 1699510925
  NPD
• Lee Memorial Health System

  dba LCH-Golisano Peds PC Bayshore

  • Federally Qualified Health Center (FQHC)
  • Port Charlotte, FL
  • NPI 1255171765
  NPD
• Lancaster General Medical Group

  dba Penn Medicine LGHP Family Medicine East Petersburg

  • Family Medicine Physician
  • East Petersburg, PA
  • NPI 1083600290
  NPD (past)

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1629494026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 HARRISBURG PIKE STE 300",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-2935",
            "fax_number": "717-544-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 HARRISBURG PIKE",
            "address_2": "SUITE 300",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMMINA",
        "first_name": "ELIZABETH",
        "credential": "RD, LDN, CDES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN004383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Marie Malick, LMFT
• Tracy Malloch-Swiderski, PT
• Ashley Nicole Mallon, PA-C
• Angela Malys, LPN
• Swati Mamidanna, MD
• Vikas Reddy Mandadi, M.D.
• Craig Tyler Mandel, DC
• Lora Mangus, M.D.
• Manheim Township Ambulance Association
• Manheim Township School District

• Registered Dietitian in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.