Elizabeth Shodimu, LICENSE
NPI 1407222920 · Nutritionist · Queen'S Village, NY
Enrolled with Medicare as Order and Referring Only - Other (non-Physician) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elizabeth Shodimu, LICENSE is a Nutritionist provider in Queen'S Village, NY (NPI 1407222920).
Provider details
- NPI number
- 1407222920
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- LICENSE
- Sex
- Female
- Sole proprietor
- Yes
- License
- 004988-1 (NY)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs 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
Mailing address
Registry dates
- Enumerated
- 2015-08-19
- Last updated
- 2015-08-19
Frequently asked questions
- What is Elizabeth Shodimu's NPI number?
- Elizabeth Shodimu's National Provider Identifier (NPI) is 1407222920, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elizabeth Shodimu's specialty?
- Elizabeth Shodimu is listed in the NPPES registry with a primary specialty of Nutritionist (Dietary & Nutritional Service Providers).
- Where is Elizabeth Shodimu located?
- Elizabeth Shodimu's practice location on file with NPPES is 110-16 Sutphin Blvd, Queen'S Village, NY 11429.
- What is Elizabeth Shodimu's phone number?
- The practice phone number listed in the NPPES registry for Elizabeth Shodimu is (917) 658-5068.
- Does Elizabeth Shodimu accept Medicare?
- Elizabeth Shodimu is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elizabeth Shodimu's NPI active?
- Yes — Elizabeth Shodimu's NPI (1407222920) is active in the NPPES registry as of the last update on 2015-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.