Elite-R-US LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

ELITE-R-US LLC

Doing business as

Elite-R-Us Nutrition Services

Practice address

1146 Dunad Ave
Opa Locka, FL 33054-3412

Phone

(518) 818-9053

NPI assigned

May 21, 2024

Organization subpart

No

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

Authorized official

Name

Seth M Ellis, RDNNPI 1790103661

Title

Registered Dietitian

Phone

(518) 818-9053

Specialties & licenses 1

Addresses

Other names 1

• Elite-R-Us Nutrition Services Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

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

• Seth Ellis Sr., RDN

  • Registered Dietitian
  • Opa Locka, FL
  • NPI 1790103661

  GA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1912746736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 DUNAD AVE",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543412",
            "telephone_number": "518-818-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 DUNAD AVE",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543412",
            "telephone_number": "518-818-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE-R-US LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "518-818-9053",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite-R-Us Nutrition Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Dietitian in Opa Locka, FL
• Providers in Opa Locka, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.