1437928009 NPI number — WHITNEY ELIZABETH HIGHTOWER MS, RDN, LD

Table of content: WHITNEY ELIZABETH HIGHTOWER MS, RDN, LD (NPI 1437928009)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437928009 NPI number — WHITNEY ELIZABETH HIGHTOWER MS, RDN, LD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HIGHTOWER
Provider First Name:
WHITNEY
Provider Middle Name:
ELIZABETH
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS, RDN, LD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HOUSER
Provider Other First Name:
WHITNEY
Provider Other Middle Name:
ELIZABETH
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS, RDN, LD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1437928009
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/25/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
487 ROUTE 63
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHESTERFIELD
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03443-3601
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-607-1322
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
452 OLD STREET RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PETERBOROUGH
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03458-1295
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-924-4699
Provider Business Practice Location Address Fax Number:
603-924-4634
Provider Enumeration Date:
12/25/2023

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  1553 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)