Individual provider Active NPI

Elizabeth Marlene Harris, RDN

  • Registered Dietitian
  • Annapolis, MD
National Provider Identifier
1831742626
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX4718 Issued in MD
Practice address
101 Annapolis St
Annapolis, MD 21401-1309
Phone
(410) 600-3514
NPI assigned
Jul 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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 DX4718 MD Primary

Addresses

Primary practice location

101 Annapolis St
Annapolis, MD 21401-1309

Mailing address

253 Heamans Way
Annapolis, MD 21409-6303
Phone (410) 280-8509

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DX4718MDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Harris Nutrition and Wellness Dietitian, Registered CurrentSince Jul 1, 2024 Accepting new patients

Locations

115 West St
Ste 400
Annapolis, MD 21401

101 Annapolis St
Annapolis, MD 21401
Phone (410) 600-3514

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": "1563580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1831742626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 HEAMANS WAY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214096303",
            "telephone_number": "410-280-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ANNAPOLIS ST",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011309",
            "telephone_number": "410-600-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ELIZABETH",
        "middle_name": "MARLENE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-20",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX4718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.