Active NPI
Elyse Kontra
- Registered Dietitian
- Glen Burnie, MD
National Provider Identifier
1700220415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DX3398
- Practice address
- 301 Hospital Dr
Glen Burnie, MD 21061-5803 - Phone
- (410) 553-8150
- NPI assigned
- Apr 24, 2013
- 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 | DX3398 | MD | Primary |
Addresses
Primary practice location
301 Hospital Dr
Glen Burnie, MD 21061-5803
Mailing address
301 Hospital Dr
Glen Burnie, MD 21061-5803
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DX3398 | MD | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arundel Physicians Associates, LLC | Past | Accepting new patients | |
| Baltimore Washington Medical Center Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Millersville, MD
- NPI 1396762274
-
- Internal Medicine Physician
- Glen Burnie, MD
- NPI 1831378868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405641600000",
"number": "1700220415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 HOSPITAL DR",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 HOSPITAL DR",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615803",
"telephone_number": "410-553-8150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONTRA",
"first_name": "ELYSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-24",
"last_updated": "2014-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "DX3398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.