ELIZABETH WATHEN RD
NPI 1043000532
Dietitian, Registered - Nutrition, Renal in Indianapolis, IN

Q: What is Elizabeth Wathen's NPI number?

The NPI number for Elizabeth Wathen is 1043000532. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Q: What is Elizabeth Wathen's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Renal, with taxonomy code 133VN1005X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Wathen was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 08, 2025Accepts Medicare Assignment

5510 S EAST ST STE H, INDIANAPOLIS, IN 46227(317) 924-8425 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 7, 2025, May 8, 2025 (2 updates tracked since 2025).

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About Elizabeth Wathen Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH WATHEN RD (NPI 1043000532) is an individual nutrition, renal provider in Indianapolis, Indiana, licensed in (37000429A) and active in the NPI registry since May 2025. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1043000532

Entity TypeIndividualFemale

Primary Taxonomy133VN1005X

Provider Legal NameELIZABETH WATHENCredential: RD

Location Address5510 S EAST ST STE HIndianapolis, IN 46227-1939

Mailing Address120 W 22nd StOak Brook, IL 60523-1557 · (630) 573-5000

Phone(317) 924-8425

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 8, 2025

Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration

NPPES CertifiedOctober 7, 2025

✔ NPI 1043000532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, Registered · Nutrition, RenalDietary & Nutritional Service Providers

Taxonomy Code133VN1005X

License✔ Licensed · 37000429A

Definition

An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.

Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 37000429A (IN)

5510 S EAST ST STE H, Indianapolis, IN 46227

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Wathen Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779090261

PECOS Enrollment IDI20250729003454

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PARISHURAMA SANKEPALLY REDDY M.D.

Internal Medicine (Nephrology)