Elizabeth A Sisneros, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2443 Issued in OK

Practice address

4200 W Memorial Rd Ste 508
Oklahoma City, OK 73120-8359

Phone

(405) 755-7561

NPI assigned

Jun 10, 2013

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

Other names 1

• Elizabeth A Bollinger Former name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Banister and Associates, LLCGroup PAC ID 4688773302, 6 clinicians

Practice addresses (Care Compare)

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.

• Banister & Associates LLC

  • Metabolic Nutrition Registered Dietitian
  • Oklahoma City, OK
  • NPI 1659593168
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1972941110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5980",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794085980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W MEMORIAL RD STE 508",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208359",
            "telephone_number": "405-755-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISNEROS",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "2443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BOLLINGER",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dumitru Sirbu, PHARMD
• Amy Elizabeth Siress, LPC CANDIDATE
• Kittakone Sirisombath Sr.
• Elizabeth Sarina Sirk
• Sheila Sisemore, L.P.C.
• Geneva Nan Sisson, RN IBCLC
• Sisu Youth, Inc.
• Sitesource Medical, LLC
• Claire Ann Sitz
• Chittur A Sivaram, MD

• Registered Dietitian in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.