Elizabeth Ann Gillham Magee, LRD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

856 Issued in ND

Practice address

3955 56TH St S Ste D
Fargo, ND 58104-4845

Phone

(701) 417-7500

NPI assigned

Oct 4, 2011

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

Other identifiers 2

Other names 1

• Elizabeth Ann G Freden Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sanford Medical Center Fargo

  • Rural Health Clinic/Center
  • Lamoure, ND
  • NPI 1164439196
  NPD

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1831473263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 56TH ST S STE D",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044845",
            "telephone_number": "701-417-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 4th St S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581031929",
            "country_code": "US",
            "telephone_number": "701-234-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGEE",
        "first_name": "ELIZABETH ANN",
        "middle_name": "GILLHAM",
        "credential": "LRD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ND",
            "license": "856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56268",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55931",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH ANN",
            "last_name": "FREDEN",
            "middle_name": "G",
            "credential": "LRD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sherri L Maetzold, RN
• Dema Magar
• Kausila Magar
• Prem Magar
• Raj Magar
• Phyllis Jean Magelky, M.S. CCC-SLP
• Samantha Magelky
• Sara Magelky, LRD
• Thomas R Magill, MD
• Mason Magle, PHARMD, BCPS

• Registered Dietitian in Fargo, ND
• Providers in Fargo, ND by specialty
• Registered Dietitian in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.