Active NPI
Elizabeth Marshall, RDN, LD
- Registered Dietitian
- Plano, TX
National Provider Identifier
1821561820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT85044
- Practice address
- 700 E Park Blvd Ste 206
Plano, TX 75074-5472 - Phone
- (972) 422-9180
- Fax
- (888) 821-2292
- NPI assigned
- Jan 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT85044 | TX | Primary |
Addresses
Primary practice location
700 E Park Blvd Ste 206
Plano, TX 75074-5472
Mailing address
700 E Park Blvd Ste 206
Plano, TX 75074-5472
Phone (972) 422-9180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 403196501 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@lemondnutrition.com | Direct | Nutriphasics, LLC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DT85044 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1821561820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E PARK BLVD STE 206",
"city": "PLANO",
"state": "TX",
"postal_code": "750745472",
"telephone_number": "972-422-9180",
"fax_number": "888-821-2292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E PARK BLVD STE 206",
"city": "PLANO",
"state": "TX",
"postal_code": "750745472",
"telephone_number": "972-422-9180",
"fax_number": "888-821-2292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "ELIZABETH",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-02",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT85044",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "403196501",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@lemondnutrition.com",
"affiliation": "Y",
"endpointDescription": "work email",
"affiliationName": "Nutriphasics, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "eXCL",
"address_1": "700 E Park Blvd Ste 206",
"city": "Plano",
"state": "TX",
"country_code": "US",
"postal_code": "750745472",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.