Individual provider Active NPI

Elizabeth Christine Combs

  • Registered Dietitian
  • Fort Wayne, IN
National Provider Identifier
1700595758
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
37003446A Issued in IN
Practice address
1107 W Oakdale Dr
Fort Wayne, IN 46807-1747
Phone
(260) 449-5920
NPI assigned
Nov 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 37003446A IN Primary

Addresses

Primary practice location

1107 W Oakdale Dr
Fort Wayne, IN 46807-1747

Mailing address

1107 W Oakdale Dr
Fort Wayne, IN 46807-1747
Phone (260) 449-5920

Other names 1

  • Elizabeth Christine Kuras Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221129002827 IN Practitioner - Registered Dietitian Or Nutrition Professional 9133597941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians

Practice addresses (Care Compare)

2001 Stults Rd
Huntington, IN 46750-1291

2003 Stults Rd
Huntington, IN 46750-1291

817 Trail Ridge Rd
Albion, IN 46701-1534
Phone (260) 373-9590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Health System Inc Dietitian, Registered Current Accepting new patients
Parkview Health System,Inc CurrentSince Dec 2, 2024 Accepting new patients

Locations

817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590

1306 E 7th St
Ste A
Auburn, IN 46706
Phone (219) 725-1255

8233 Glencarin Blvd
Fort Wayne, IN 46804
Phone (260) 425-5470

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

2003 Stults Rd
#100
Huntington, IN 46750
Phone (219) 356-5424

Interoperability endpoints

  • FHIR API: https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1700595758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 W OAKDALE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468071747",
            "telephone_number": "260-449-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 W OAKDALE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468071747",
            "telephone_number": "260-449-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBS",
        "first_name": "ELIZABETH",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37003446A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "KURAS",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.