Active NPI
Dana Marie Elia, RDN, LDN
- Registered Dietitian
- Willow Street, PA
National Provider Identifier
1700170099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN001779
- Practice address
- 15 Box Elder LN
Willow Street, PA 17584-9605 - Phone
- (717) 917-5259
- NPI assigned
- Jun 3, 2011
- 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 | DN001779 | PA | Primary |
Addresses
Primary practice location
15 Box Elder LN
Willow Street, PA 17584-9605
Mailing address
15 Box Elder LN
Willow Street, PA 17584-9605
Phone (717) 917-5259
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN001779 | Other | PA | PA STATE LICENSE NUMBER |
| 00859033 | Other | COMMISSION ON DIETETIC REGISTRATION |
Other names 1
- Ms. Dana Marie Thornley
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN001779 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fusion Integrative Health and Wellness, LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Registered Dietitian
- Lancaster, PA
- NPI 1568873982
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1700170099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 BOX ELDER LN",
"city": "WILLOW STREET",
"state": "PA",
"postal_code": "175849605",
"telephone_number": "717-917-5259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 BOX ELDER LN",
"city": "WILLOW STREET",
"state": "PA",
"postal_code": "175849605",
"telephone_number": "717-917-5259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIA",
"first_name": "DANA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-03",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN001779",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA STATE LICENSE NUMBER",
"identifier": "DN001779",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "00859033",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DANA",
"last_name": "THORNLEY",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "RD, LDN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Willow Street, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.