Elizabeth Edmonds, RDN, CSG

Key facts

NPI

1992331409

Entity type

Individual (NPI type 1)

Primary specialty

Gerontological Nutrition Registered Dietitian 133VN1101X

License

1008219 (CO)

Practice address

1401 S Cascade Ave
Montrose, CO 81401-5003

Phone

(970) 252-3113

NPI assigned

Mar 16, 2020

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 16, 2020.

{
    "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": []
}

Other providers in Montrose, CO

• Eagle Creek Dental Hygiene
• Eastern Wind LLC
• Joshua Eastham, DMD
• Brett Lawton Edeker, D.C.
• Kenneth D Edgar, D.C.
• Janelle Edmondson, NP
• Kristi Michelle Edwards, LPC
• Sarah Eggleton
• Elk Ridge Health and Rehabilitation Center LLC
• Elk Ridge Health and Rehabilitation Center LLC

All providers in Montrose, CO · Gerontological Nutrition Registered Dietitian in Colorado