Elaine Marie Gorman, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86325706

Practice address

2005 Griswold LN
Austin, TX 78703-3007

Phone

(214) 766-4583

NPI assigned

Jan 26, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, MA2 enrollments

Enrollment records 2

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sparkman Nutrition, LLC

  • Registered Dietitian
  • Austin, TX
  • NPI 1619332384

  Dietitian, Registered

  Medicare reassignment NPD
• Everlong Inc.

  dba Everlong Nutrition, LLC

  • Registered Dietitian
  • Worcester, MA
  • NPI 1982209680

  Dietitian, Registered

  NPD
• Wilfong Nutrition Limited Liability Company

  • Registered Dietitian
  • West Lake Hills, TX
  • NPI 1518464650

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1881300408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 GRISWOLD LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787033007",
            "telephone_number": "214-766-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 GRISWOLD LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787033007",
            "telephone_number": "214-766-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "ELAINE",
        "middle_name": "MARIE",
        "credential": "RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT88336",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86325706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Russell Gore, DC
• Kenneth R Gore, CRNA
• Shireen Gore
• Molly Gorkiewicz, PHARM.D.
• Michael John Gorman-Smith, PA-C
• Samuel Asher Gorman, PAC
• William H. Gorman, M.D.
• Julie Gorn, O.D.
• Michael Gorn, M.D.
• Molly Gorney

• 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 Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.