Individual provider Active NPI

Elizabeth Leigh Giamis, MA, RD, LDN, CDE

  • Registered Dietitian
  • Libertyville, IL
National Provider Identifier
1710947825
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.005679 Issued in IL
Practice address
1231 Harwood Dr
Libertyville, IL 60048-1128
Phone
(865) 963-5675
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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 164.005679 IL Primary

Addresses

Primary practice location

1231 Harwood Dr
Libertyville, IL 60048-1128

Mailing address

1231 Harwood Dr
Libertyville, IL 60048-1128
Phone (865) 963-5675

Other names 1

  • Miss Elizabeth Leigh Yackel Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
164.005679ILMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1710947825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 HARWOOD DR",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481128",
            "telephone_number": "865-963-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 HARWOOD DR",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481128",
            "telephone_number": "865-963-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIAMIS",
        "first_name": "ELIZABETH",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "MA, RD, LDN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.005679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "YACKEL",
            "middle_name": "LEIGH",
            "prefix": "MISS",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.