LIZABETH GOLD (RD) – Registered Dietitian, NPI 1174069397

LIZABETH GOLD (RD) is a healthcare provider. based in Carol stream, Illinois. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD. They hold a License No. 164.007012 (IL). The NPI Number for LIZABETH GOLD (RD) is 1174069397

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
LIZABETH GOLD (RD)
NPI
1174069397
Phone
Not provided
Address
PO BOX 4543
Enumeration Date
11 January 2017
Last Update Date
11 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8474923040
Graduation Year
2016 (10 years ago)
PAC ID
2466737317
Group Practice PAC ID
2264462977
Professional Enrollment ID
I20170316001183
Address ID
IL600771034SK5230XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

311 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in IL

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Provider Addresses for LIZABETH GOLD (RD)

  • PO BOX 4543

    CAROL STREAM, IL 601974543

    Phone:

    Type: Mailing

  • 5230, Old Orchard Road, Skokie, Niles Township, Cook County, Illinois, 60077, United States

    SKOKIE, IL 600771034

    Phone: (847) 492-3040

    Fax: (847) 492-3045

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-03-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170316001183IRegistered Dietitian Or Nutrition ProfessionalILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60197)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264462977View full group profile
NameSpecialtyState
Registered Dietitian Or Nutrition ProfessionalIL
Physician AssistantIL
Internal Medicine, Hematology/OncologyIL
-IL
Medical OncologyIL

Reviews

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Frequently asked questions

How is LIZABETH GOLD (RD) identified in CMS data?
CMS-hosted NPPES data lists LIZABETH GOLD (RD) with NPI 1174069397.
Can I rely on LIZABETH GOLD (RD) being an active provider?
As of the registry snapshot, LIZABETH GOLD (RD) is marked active.
What taxonomy line describes LIZABETH GOLD (RD)?
For research purposes, treat LIZABETH GOLD (RD) as Registered Dietitian in this dataset. Clinical services aligned with this taxonomy classification.
What area does LIZABETH GOLD (RD) serve?
LIZABETH GOLD (RD)'s listing highlights Carol Stream, Illinois; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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