NPIMap

Organization Active NPI

Li Nutritionist PLLC

  • Registered Dietitian
  • Roslyn Heights, NY
National Provider Identifier
1629651989
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
LI NUTRITIONIST PLLC
Practice address
5 Hillturn LN
Roslyn Heights, NY 11577-2306
Phone
(516) 581-2217
NPI assigned
May 4, 2021
Last updated
May 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Eleana Kaidanian, RD, CDNNPI 1659957330
Title
Registered Dietitian, Owner
Phone
(516) 581-2217

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

5 Hillturn LN
Roslyn Heights, NY 11577-2306

Mailing address

5 Hillturn LN
Roslyn Heights, NY 11577-2306
Phone (516) 581-2217

Other names 1

  • Long Island Nutritionist Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eleana@linutritionist.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240305002507 NY Part B Supplier - Clinic/Group Practice 6608211255 Receives reassigned benefits from 6 practitioners
Practice locations: Great Neck, NY

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: eleana@linutritionist.com

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1629651989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HILLTURN LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772306",
            "telephone_number": "516-581-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HILLTURN LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772306",
            "telephone_number": "516-581-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LI NUTRITIONIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "KAIDANIAN",
        "authorized_official_first_name": "ELEANA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN, OWNER",
        "authorized_official_telephone_number": "516-581-2217",
        "authorized_official_credential": "RD, CDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eleana@linutritionist.com",
            "affiliation": "N",
            "endpointDescription": "direct electronic contact",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct electronic contact",
            "address_1": "5 Hillturn Ln",
            "city": "Roslyn Heights",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115772306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Long Island Nutritionist",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roslyn Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.