Elizabeth Edmonds, RDN, CSG

Primary specialty

Gerontological Nutrition Registered DietitianTaxonomy code 133VN1101X

License

1008219 Issued in CO

Practice address

1401 S Cascade Ave
Montrose, CO 81401-5003

Phone

(970) 252-3113

NPI assigned

Mar 16, 2020

Last updated

Mar 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1992331409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62425 JIG RD",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814018214",
            "telephone_number": "719-684-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S CASCADE AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015003",
            "telephone_number": "970-252-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11411 Highway 65",
            "address_purpose": "LOCATION",
            "city": "Eckert",
            "state": "CO",
            "postal_code": "814185204",
            "country_code": "US",
            "telephone_number": "970-835-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "ELIZABETH",
        "credential": "RDN, CSG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1101X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Gerontological",
            "state": "CO",
            "license": "1008219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Montrose, CO
• Providers in Montrose, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.

Verify at the official NPI Registry.