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MS. ELIZABETH O SHODIMU LICENSE
NPI 1407222920
Nutritionist in Queen's Village, NY

Active since August 19, 2015PECOS Enrolled
110-16 SUTPHIN BLVD, 111-08 WITTHOFF STREET, QUEEN'S VILLAGE, NY 11429(917) 658-5068 Get Directions Write a Review

NPPES record last updated: August 19, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Elizabeth O Shodimu License NPPES

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

MS. ELIZABETH O SHODIMU LICENSE (NPI 1407222920) is an individual nutritionist in Queen's Village, New York, licensed in New York (004988-1) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407222920
Entity TypeIndividualFemale
Primary Taxonomy133N00000X
Provider Legal NameMS. ELIZABETH O SHODIMUCredential: LICENSE
Location Address110-16 SUTPHIN BLVD, 111-08 WITTHOFF STREETQueen's Village, NY 11429
Mailing Address111-08 Witthoff StreetQueen's Village, NY 11429 · (917) 658-5068
Phone(917) 658-5068
Sole ProprietorYes
Enumeration DateAugust 19, 2015
✔ NPI 1407222920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers
Taxonomy Code133N00000X
License✔ Licensed in NY · 004988-1
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 004988-1 (NY)
110-16 SUTPHIN BLVD, Queen's Village, NY 11429
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Elizabeth O Shodimu License is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Shodimu's NPI number?

The NPI number for Elizabeth Shodimu is 1407222920. It was assigned to this individual provider in the NPPES registry on August 19, 2015.

Where is Elizabeth Shodimu located?

Elizabeth Shodimu practices at 110-16 Sutphin Blvd 111-08 Witthoff Street, Queen's Village, NY 11429. The listed phone number is (917) 658-5068.

What is Elizabeth Shodimu's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Is Elizabeth Shodimu enrolled in Medicare?

Yes. Elizabeth Shodimu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Shodimu was last updated on August 19, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.