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

Mrs. Elizabeth Outlaw Muchmore, PA-C, MMS, MS, RD

Individual provider Registered Dietitian · NPI 1306228952

Mrs. Elizabeth Outlaw Muchmore, PA-C, MMS, MS, RD is a Physician Assistant in St Augustine, Florida. Qualified in 2021, 5 years ago. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

204 Southpark Cir E
St Augustine, FL 32086-5135
Phone: (904) 829-8300
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9115135 (FL)
Registered Dietitian Taxonomy 133V00000X

Record details

NPI number1306228952
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MMS , MS , RD
Sole proprietorNo
NPI enumeratedJune 19, 2015
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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