Active NPI
Elizabeth Ann Hartz, M.S., R.D.N., C.D.N
- Registered Dietitian
- Lewiston, NY
National Provider Identifier
1861934465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86052272
- Practice address
- 1870 Upper Mountain Rd
Lewiston, NY 14092-9742 - Phone
- (716) 531-5207
- NPI assigned
- Nov 14, 2016
- Last updated
- Oct 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86052272 | NY | Primary |
Addresses
Primary practice location
1870 Upper Mountain Rd
Lewiston, NY 14092-9742
Mailing address
352 Brentwood Dr
Youngstown, NY 14174-1404
Phone (716) 531-5207
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86052272 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Nutrition of Western New York, PLLC | Current | Accepting new patients | |
| Inclusive Nutrition Counseling, PLLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Service Clinic/Center
- Youngstown, NY
- NPI 1811488240
-
- Registered Dietitian
- Amherst, NY
- NPI 1164188041
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633564800000",
"number": "1861934465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "352 BRENTWOOD DR",
"city": "YOUNGSTOWN",
"state": "NY",
"postal_code": "141741404",
"telephone_number": "716-531-5207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1870 UPPER MOUNTAIN RD",
"city": "LEWISTON",
"state": "NY",
"postal_code": "140929742",
"telephone_number": "716-531-5207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTZ",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "M.S., R.D.N., C.D.N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-14",
"last_updated": "2021-10-07",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "86052272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.