OrganizationActive
Nutrition Therapy
NPI 1154141463 · Nutritionist · Clovis, NM
Provider details
- NPI number
- 1154141463
- Entity type
- Organization
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Elizabeth Bates, Registered Dietitian(904) 504-5955
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2406 E Llano Estacado Blvd Apt G
Clovis, NM 88101-3999
Phone: (904) 504-5955
Street-level locationGet directions
Mailing address
2400 E Llano Estacado Blvd Apt 2406-G
Clovis, NM 88101-3974
Registry dates
- Enumerated
- 2024-10-11
- Last updated
- 2024-10-11
- Certified
- 2024-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.