Organization Active NPI

Heather Elia RDN

Doing business as Heather Elia

  • Registered Dietitian
  • Birmingham, MI
National Provider Identifier
1689399354
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
HEATHER ELIA RDN
Doing business as
Heather Elia
Practice address
950 E Maple Rd Ste L10
Birmingham, MI 48009-6482
Phone
(248) 701-9979
NPI assigned
Oct 5, 2022
Last updated
Oct 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Heather Elia, RDNNPI 1558877613
Title
Owner
Phone
(248) 701-9979

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 NU Primary

Addresses

Primary practice location

950 E Maple Rd Ste L10
Birmingham, MI 48009-6482

Mailing address

6642 Leytonstone Blvd
West Bloomfield, MI 48322-1200
Phone (248) 701-9979

Other names 1

  • Heather Elia Doing business as

National Provider Directory

National Provider Directory

Locations

950 E Maple Rd
Ste L10
Birmingham, MI 48009
Phone (248) 595-2363

Practitioners & affiliated clinicians

Practitioners 1

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": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1689399354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6642 LEYTONSTONE BLVD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221200",
            "telephone_number": "248-701-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E MAPLE RD STE L10",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096482",
            "telephone_number": "248-701-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER ELIA RDN",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "ELIA",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-701-9979",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heather Elia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.