NPI 1467613869
Elyn D. Zimmerman, CDN
Nutritionist · Round Lake, NY
Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 16, 2026, 6:24 pm EDT
See the full record in NPI Lookup
Licenses with board links, Medicare enrollment, the verification report, industry payments and published research, plus Excel and PDF downloads.
Elyn D. Zimmerman, CDN is a health care provider (Nutritionist) in Round Lake, New York with National Provider Identifier (NPI) 1467613869. The NPI was issued on Jun 19, 2008 and the registry record was last updated on Jun 19, 2008. The registry lists a license in New York.
Registry record
- NPI
- 1467613869
- Type
- Individual (NPI-1), sole proprietor
- Primary specialty
- Nutritionist 133N00000X
- Practice location
- 8 Fletcher Ave
Round Lake, NY 12151 - Phone
- (518) 899-1642
- NPI issued
- Jun 19, 2008
- Registry record updated
- Jun 19, 2008
Specialties and licenses
| Specialty | Taxonomy code | License state | License |
|---|---|---|---|
| Nutritionist Primary | 133N00000X | New York | 001310-1 |
Confirm license status and discipline with the state board (links in NPI Lookup).
Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.