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MS. ELLEN BETH LISKOV RD MPH CDE NPI 1912125733


NPI Information

NPI: 1912125733
Provider Name: MS. ELLEN BETH LISKOV, RD, MPH, CDE
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
20 YORK ST
CBB 52
NEW HAVEN, CT
ZIP 06510
Phone: (203) 688-2422
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MS. Ellen Beth Liskov, RD, MPH, CDE is a dietitian registered in New Haven, CT. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. MS. Ellen Beth Liskov, RD, MPH, CDE NPI is 1912125733. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20 YORK ST
CBB 52
NEW HAVEN, CT
ZIP 06510-220
Phone: (203) 688-2422
Fax: (203) 688-2141

The enumeration date for this NPI number is 4/24/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, Registered000489CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C02658MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUTYNHH MEDICARE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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