Elizabeth Overgaauw, RD, LD, LMNT

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

077925 Issued in IA

Practice address

4500 Sergeant Rd
Store #1614
Sioux City, IA 51106-4705

Phone

(712) 274-1036

NPI assigned

May 8, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Elizabeth Schneider Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1780062976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 SERGEANT RD",
            "address_2": "STORE #1614",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064705",
            "telephone_number": "712-274-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SERGEANT RD",
            "address_2": "STORE #1614",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064705",
            "telephone_number": "712-274-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERGAAUW",
        "first_name": "ELIZABETH",
        "credential": "RD, LD, LMNT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "077925",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NE",
            "license": "102152",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SCHNEIDER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea Karen Orr, ARNP
• Lessly Ortega
• Ricardo Osorio, NP
• Brandee Jo Ostrem, LMSW
• Kriemhild Oudheusden Dalpez, LISW
• Brian Owens, PT
• Florencia Francisca Oyarzun Jeraldo
• P R Horton RPH Inc
• P R Horton RPH, Inc
• Molly Pace, LMHC

• Registered Dietitian in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Registered Dietitian in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.