Elizabeth Detrick Kirkpatrick, MS, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L002735 Issued in NC

Practice address

612 Pasteur Dr
Suite 108
Greensboro, NC 27403-1149

Phone

(336) 337-7484

NPI assigned

Oct 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1881873909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 BEACONWOOD DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551170",
            "telephone_number": "336-337-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 PASTEUR DR",
            "address_2": "SUITE 108",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031149",
            "telephone_number": "336-337-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "ELIZABETH",
        "middle_name": "DETRICK",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L002735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Marie Kirchmayer, MD
• Tatyana Kirichenko, PA-C
• Kehinde Kirk, FNP-C
• Tammy Kirkley
• Adriana Z. Kirkman, LCMHC
• Andrew Edward Kirsteins, M.D.
• Katherine M. Kirstner, MS-EDS, NCC, LCMHC
• Kimberly Ann Kiser, DDS
• Lilia Kiser
• Nancy E Kish, CRNA

• Registered Dietitian in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.