Active NPI
Elise Harlow, M.S., R.D.
- Registered Dietitian
- Mission Viejo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86034751
- Practice address
- 26461 Crown Valley Pkwy Ste 100
Mission Viejo, CA 92691-6377 - Phone
- (512) 656-2813
- NPI assigned
- Dec 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 86034751 | CA | Primary |
Addresses
Primary practice location
26461 Crown Valley Pkwy Ste 100
Mission Viejo, CA 92691-6377
Mailing address
18332 Patterson LN Apt 2
Huntington Beach, CA 92646-1682
Phone (512) 656-2813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86034751 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Current | Accepting new patients |
Locations
515 S Flower St
#1015
Los Angeles, CA 90071
720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589
525 N Tryon St
Ste 1600
Charlotte, NC 28202
Phone (855) 478-8208
500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000
3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449532800000",
"number": "1962877522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18332 PATTERSON LN APT 2",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926461682",
"telephone_number": "512-656-2813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26461 CROWN VALLEY PKWY STE 100",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916377",
"telephone_number": "512-656-2813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLOW",
"first_name": "ELISE",
"credential": "M.S., R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-08",
"last_updated": "2015-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86034751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.