Active NPI
Elise Marie Webster, RD.
- Registered Dietitian
- Manchester, MO
National Provider Identifier
1972121176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86152498
- Practice address
- 822 Posthorn Dr.
Manchester, MO 63021 - Phone
- (314) 604-3781
- NPI assigned
- Jul 14, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 86152498 | Primary |
Addresses
Primary practice location
822 Posthorn Dr.
Manchester, MO 63021
Mailing address
822 Posthorn Dr.
Manchester, MO 63021
Phone (314) 604-3781
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Nutrition Therapy, LLC | Dietitian, Registered | Past | Accepting new patients |
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.
-
- Registered Dietitian
- Saint Louis, MO
- NPI 1609559384
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1972121176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 POSTHORN DR.",
"city": "MANCHESTER",
"state": "MO",
"postal_code": "63021",
"telephone_number": "314-604-3781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 POSTHORN DR.",
"city": "MANCHESTER",
"state": "MO",
"postal_code": "63021",
"telephone_number": "314-604-3781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBSTER",
"first_name": "ELISE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "RD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-14",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86152498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.