Ellen Beth Liskov, RD, MPH, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

000489 Issued in CT

Practice address

20 York St
CBB 52
New Haven, CT 06510-3220

Phone

(203) 688-2422

Fax

(203) 688-2141

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

No

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

Enrolled in CT

Enrollment records 1

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.

• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1336139500
  Medicare reassignment NPD

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912125733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 PLYMOUTH CT",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603448",
            "telephone_number": "203-783-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "address_2": "CBB 52",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-2422",
            "fax_number": "203-688-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISKOV",
        "first_name": "ELLEN",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "RD, MPH, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "000489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita A Lipke, PHARMD
• Nathan Lipkind, LCSW
• Kasia J Lipska, M.D.
• Cristina Liriano Cepin
• Sean Ervin Lisk, PA-C
• Sean Aaron Lisse, M.D.
• George Lister Jr., MD
• Jacob Michael Kayle Lister, MD, PHD
• Alexander Brave Listur, MD
• Tori Litchfield

• Registered Dietitian in New Haven, CT
• Providers in New Haven, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.