Elevate Nutrition Consulting

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT83374 Issued in TX

Legal business name

ELEVATE NUTRITION CONSULTING

Practice address

12600 Hill Country Blvd
Suite 275
Austin, TX 78738-6723

Phone

(512) 537-3171

Fax

(512) 582-8293

NPI assigned

May 23, 2016

Organization subpart

No

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

Authorized official

Name

Stacey Mattinson, RDN, LD

Title

Owner

Phone

(469) 450-4073

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1831546548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161381",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787161381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 HILL COUNTRY BLVD",
            "address_2": "SUITE 275",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386723",
            "telephone_number": "512-537-3171",
            "fax_number": "512-582-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE NUTRITION CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "MATTINSON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-450-4073",
        "authorized_official_credential": "RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT83374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elemental Liberation
• Elena V. Olcott, DC, PA
• Douglas Elenz, MD
• Jane Eleri, RD, LD
• Gracielle Bernardo Elesterio
• Elevate Therapy and Wellness
• Elevated Kids TX LLC
• Elevated Psychotherapy, PLLC
• Bari Elfenbein, DO
• Lauren M. Elgin, M.S., CCC-SLP

• Registered Dietitian in Austin, TX
• Providers in Austin, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.