Active NPI
Elizabeth Cooley, MS, RDN, LD, IBCLC
- Registered Dietitian
- Hayden, AL
National Provider Identifier
1992270284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86008028
- Practice address
- 104 Westbrook Dr
Hayden, AL 35079-9102 - Phone
- (205) 259-8186
- NPI assigned
- Oct 12, 2018
- 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 | 86008028 | AL | Primary |
Addresses
Primary practice location
104 Westbrook Dr
Hayden, AL 35079-9102
Mailing address
104 Westbrook Dr
Hayden, AL 35079-9102
Other practice location 1
1400 6th Ave S
Birmingham, AL 35233-1502
Phone (205) 510-3426
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86008028 | AL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620172800000",
"number": "1992270284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WESTBROOK DR",
"city": "HAYDEN",
"state": "AL",
"postal_code": "350799102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 WESTBROOK DR",
"city": "HAYDEN",
"state": "AL",
"postal_code": "350799102",
"telephone_number": "205-259-8186"
}
],
"practiceLocations": [
{
"address_1": "1400 6th Ave S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352331502",
"country_code": "US",
"telephone_number": "205-510-3426",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOLEY",
"first_name": "ELIZABETH",
"credential": "MS, RDN, LD, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-12",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "86008028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayden, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.