Active NPI
Elizabeth F. Barge, R.D.
- Registered Dietitian
- Norfolk, VA
National Provider Identifier
1649405903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ADA680187
- Practice address
- 4214 Columbus Ave
Norfolk, VA 23504-1074 - Phone
- (757) 627-2233
- NPI assigned
- May 15, 2009
- Last updated
- May 15, 2009
- 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 | ADA680187 | IL | Primary |
Addresses
Primary practice location
4214 Columbus Ave
Norfolk, VA 23504-1074
Mailing address
4214 Columbus Ave
Norfolk, VA 23504-1074
Phone (757) 627-2233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 29, 2017 through Nov 29, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ADA680187 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242345600000",
"number": "1649405903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4214 COLUMBUS AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235041074",
"telephone_number": "757-627-2233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4214 COLUMBUS AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235041074",
"telephone_number": "757-627-2233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARGE",
"first_name": "ELIZABETH",
"middle_name": "F.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-15",
"last_updated": "2009-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "ADA680187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; 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.