Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elizabeth Wilson, DOM, RD

Individual provider Registered Dietitian · NPI 1023573755

Elizabeth Wilson, DOM, RD is a Registered Dietitian in Saint Petersburg, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2019
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

8424 4th St N
Saint Petersburg, FL 33702-3659
Phone: (256) 682-1763
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5402 W Laurel St, Tampa, FL 33607-1726 — (256) 682-1763

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 4024 (FL)
Registered Dietitian Taxonomy 133V00000X

Record details

NPI number1023573755
Entity typeIndividual (Type 1)
GenderFemale
Credentials DOM , RD
Sole proprietorNo
NPI enumeratedFebruary 6, 2019
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025

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