MRS. ELYSE MARIE CARSON (NPI# 1396840856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396840856 |
Entity Type | Individual |
Full Name | MRS. ELYSE MARIE CARSON |
Other Name | MRS. ELYSE MARIE TYLER |
Credential | MS RD LD |
Practice Address |
6135 La Vista Dr Dallas TX 75214-4310 |
Practice Telephone | 2147736858 |
Mailing Telephone | 2147736858 |
Enumeration Date | 2006-09-13 |
Last Update Date | 2012-02-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
DTO5996 | TX | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | CDR | 896525 | 01 |
TX | TEXAS LICENSURE | DTO5996 | 01 |
TX | 143738601 | 05 |
Street Address |
6135 LA VISTA DR |
City | DALLAS |
State | TX |
Zip Code | 75214-4310 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316564990 | Ikids Pediatric Dentistry Lakewood, Pllc | Dentist | 2011 Abrams Parkway, Dallas, TX 75214 | 2020-06-30 |
1447714183 | Lcl Mental Health Services | Marriage & Family Therapist | 6060 North Central Expwy, Suite 500, Dallas, TX 75214 | 2019-01-28 |
1487136776 | Muriel Kim Jimenez | Occupational Therapist | 6301 Gaston Ave # 162p, Dallas, TX 75214 | 2018-09-03 |
1447783352 | Nietta Reynolds | Counselor | 4935 Junius, 9, Dallas, TX 75214 | 2017-04-07 |
1124551536 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 6474 E. Northwest Hwy, Dallas, TX 75214 | 2017-04-04 |
1093265324 | Sarah Gammon | Behavior Technician | 6908 Wake Forrest Dr, Dallas, TX 75214 | 2016-10-11 |
1669921466 | Ivan Barboza | Physical Therapy Assistant | 5931 Reiger Ave, Dallas, TX 75214 | 2016-09-22 |
1164892857 | Edwin Gulledge Grafton Jr. | Ophthalmology | 6235 Ravendale Ln., Dallas, TX 75214 | 2015-10-07 |
1093182057 | Callie Jack | Audiologist-Hearing Aid Fitter | 6162 E. Mockingbird Lane, Suite 100, Dallas, TX 75214 | 2015-08-26 |
1427436179 | John Martin Whitfill | Internal Medicine | 7040 Tokalon Dr., Dallas, TX 75214 | 2015-05-14 |
Find all providers in zip 75214 |
Taxonomy Code | 133VN1004X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Pediatric |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104366970 | Janelle Marie Andonie Bocock | Dietitian, Registered | 6162 Maple Ave Apt 2308, Dallas, TX 75235-6820 | 2017-02-27 |
1700070620 | Inge Daeschel | Dietitian, Registered | 523 Se Washington Street, Dallas, OR 97338-2834 | 2007-09-04 |
1871690206 | Kamesha Burrell | Dietitian, Registered | 1935 Motor Stree, Dallas, TX 75235 | 2006-09-20 |
1629625124 | Lauren Elizabeth Hollaway | Dietitian, Registered | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2019-08-20 |
1750940748 | Mona Kasik | Dietitian, Registered | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2019-06-12 |
1629544994 | Sridevi Jagadeesan | Dietitian, Registered | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2018-10-15 |
1508346644 | Molly Williams | Dietitian, Registered | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2018-08-17 |
1063909893 | Emily Patterson | Dietitian, Registered | 1935 Medical District Dr, Dallas, TX 75235 | 2018-04-17 |
1316454416 | Marimar Torres | Dietitian, Registered | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2018-01-10 |
1457878357 | Sara Darby Girouard | Dietitian, Registered | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2017-08-23 |
Find all providers in DALLAS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.