NPIMap

Organization Active NPI

Elevate Nutrition Consulting

  • Registered Dietitian
  • Austin, TX
National Provider Identifier
1831546548
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
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
Last updated
May 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Authorized official

Name
Stacey Mattinson, RDN, LDNPI 1730545914
Title
Owner
Phone
(469) 450-4073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X DT83374 TX Primary

Addresses

Primary practice location

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

Mailing address

PO Box 161381
Austin, TX 78716-1381

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in Austin, TX

Sources for this page

  • 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.