MRS. ELYSE MARIE CARSON


Address: 6135 La Vista Dr, Dallas, TX 75214-4310
Phone: 2147736858

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1004X Dietitian, Registered
Specialization: Nutrition, Pediatric
DTO5996 TX Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX CDR 896525 01
TX TEXAS LICENSURE DTO5996 01
TX 143738601 05

Office Location

Street Address 6135 LA VISTA DR
City DALLAS
State TX
Zip Code 75214-4310

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Taxonomy Information

Taxonomy Code 133VN1004X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Pediatric

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City DALLAS
Zip Code 75214

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Dataset Information

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.

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