Elena Mazurkiewicz, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86116402 Issued in MI

Practice address

5452 Fort St Ste 200
Trenton, MI 48183-4638

Phone

(734) 642-2378

NPI assigned

Mar 31, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1760187785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37750 HARVEST LN",
            "city": "NEW BOSTON",
            "state": "MI",
            "postal_code": "481649088",
            "telephone_number": "734-626-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5452 FORT ST STE 200",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481834638",
            "telephone_number": "734-642-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZURKIEWICZ",
        "first_name": "ELENA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "86116402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Maslar, OTR/L
• Kathleen Matkovic, MA, LLPC, ATR-P
• Mona Mawari
• Mallory H Mazur
• Melissa Mazurek, PHYSICIAN ASSISTANT
• Donald James McEachran, PH.D.
• Grace Allan McFarland, DO
• Carie Joyce McGauley, PH.D., LP
• Stephen McKinney, DO
• Lewis J McLaughlin, CRNA

• Registered Dietitian in Trenton, MI
• Providers in Trenton, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.