Individual provider Active NPI

Elizabeth A Walker, RD

  • Registered Dietitian
  • Lafayette, TN
National Provider Identifier
1790835601
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
204 Medical Dr
Lafayette, TN 37083-1719
Phone
(615) 666-2147
Fax
(615) 666-7002
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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 Primary

Addresses

Primary practice location

204 Medical Dr
Lafayette, TN 37083-1719

Mailing address

PO Box 378
204 Medical Drive
Lafayette, TN 37083-0378
Phone (931) 528-8153

Other practice location 1

427 N Willow Ave Ste C
Cookeville, TN 38501-2354
Phone (931) 559-5959

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

LicenseStateTypeSpecialty
221TNMDOrthotist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Health Care LLC CurrentSince May 1, 2024 Accepting new patients

Locations

427 N Willow Ave
Ste C
Cookeville, TN 38501
Phone (931) 559-5959

Organizations & group practices 1

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1790835601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "address_2": "204 MEDICAL DRIVE",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370830378",
            "telephone_number": "931-528-8153",
            "fax_number": "615-666-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MEDICAL DR",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370831719",
            "telephone_number": "615-666-2147",
            "fax_number": "615-666-7002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "427 N Willow Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385012354",
            "country_code": "US",
            "telephone_number": "931-559-5959",
            "fax_number": "833-992-2327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.