The Broadway Dietitian Nutrition Consulting, PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

THE BROADWAY DIETITIAN NUTRITION CONSULTING, PLLC

Practice address

78 Manhattan Ave Apt 2E
New York, NY 10025-4662

Phone

(805) 801-1321

NPI assigned

Jan 3, 2024

Organization subpart

No

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

Authorized official

Name

Elizabeth Parker, RDNPI 1063834984

Title

Owner

Phone

(805) 801-1321

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Parker, MS, RD

  • Registered Dietitian
  • San Luis Obispo, CA
  • NPI 1063834984

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1861262644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W 72ND ST # 334",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233201",
            "telephone_number": "805-801-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 MANHATTAN AVE APT 2E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254662",
            "telephone_number": "805-801-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BROADWAY DIETITIAN NUTRITION CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-801-1321",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in New York, NY
• Providers in New York, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.