Elyse Marie Carson in Dallas - Nutrition, Pediatric
Elyse Marie Carson - NPI 1396840856
Elyse Marie Carson is a Nutrition, Pediatric in Dallas, Texas. Elyse Marie Carson practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Elyse Marie Carson is 1396840856. The last update date is 2012-02-21.
Elyse Marie Carson's current location address is 6135 La Vista Dr, Dallas, Texas. You can contact this provider via phone number 2147736858. The mailing address for Elyse Marie Carson is 6135 La Vista Dr, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elyse Marie Carson |
|---|---|
| Address | 6135 La Vista Dr, Dallas, Texas |
| Phone Number | 2147736858 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS RD LD |
NPI Number Detail
| NPI Number | 1396840856 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2012-02-21 |
Provider Mailing Address Detail
| Address | 6135 La Vista Dr |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752144310 |
| Phone Number | 2147736858 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Pediatric |
|---|---|
| Taxonomy | 133Vn1004X |
| Licence No | DTO5996 |
|
Definition: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 896525 | TX | CDR | |
| DTO5996 | TX | TEXAS LICENSURE | |
| 143738601 | TX | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Elyse Marie Carson by the Centers for Medicare & Medicaid Services?
The Elyse Marie Carson has been issued the NPI (National Provider Identifier) 1396840856. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Elyse Marie Carson's facilities are geographically located?
The facilities of Elyse Marie Carson are physically situated at the following location: 6135 La Vista Dr, Dallas, TX, 752144310.
What is Elyse Marie Carson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Elyse Marie Carson is Nutrition, Pediatric, and the taxonomy code that categorizes this field of expertise is 133Vn1004X.
On what date did Elyse Marie Carson receive its 1396840856 assignment from the Centers for Medicare & Medicaid Services?
The Elyse Marie Carson was assigned its 1396840856 on 2006-09-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Elyse Marie Carson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Elyse Marie Carson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-02-21.
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