Individual provider Active NPI

Elizabeth Anne Stasny, RD

  • Registered Dietitian
  • Flower Mound, TX
National Provider Identifier
1992042162
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT82531 Issued in TX
Practice address
6101 Long Prairie Rd Ste 752
Flower Mound, TX 75028-6207
Phone
(214) 276-1533
NPI assigned
Jan 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT82531 TX Primary

Addresses

Primary practice location

6101 Long Prairie Rd Ste 752
Flower Mound, TX 75028-6207

Mailing address

931 Inverness Cir
Highland Village, TX 75077-3148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231013002775 TX Practitioner - Registered Dietitian Or Nutrition Professional 1254786031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2670 Firewheel Dr
Suite B
Flower Mound, TX 75028-7596
Phone (214) 276-1533

6101 Long Prairie Rd
Suite 752
Flower Mound, TX 75028-6207
Phone (214) 276-1533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Live With Nutrition LLC CurrentSince Jun 10, 2023 Accepting new patients

Locations

2670 Firewheel Dr
Ste B
Flower Mound, TX 75028
Phone (214) 276-1533

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": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1992042162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 INVERNESS CIR",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750773148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 LONG PRAIRIE RD STE 752",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750286207",
            "telephone_number": "214-276-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASNY",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT82531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.