Elizabeth Greener, RDN
Dietitian, Registered in Philadelphia, PA. Individual provider (NPI-1).
NPI number1104609809
StatusActive
Last updated in NPPESAug 16, 2023
Details
- NPI
- 1104609809
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Greener
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2023
- Certification date
- Aug 16, 2023
- Last updated
- Aug 16, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN007624 | PA | Yes |
Practice location
300 Alexander Ct Apt 113Philadelphia, PA 19103-1156
Phone 732-859-6928
Mailing address
300 Alexander Ct Apt 113Philadelphia, PA 19103-1156
Phone 732-859-6928
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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