Active NPI
Lisa M Kerekes, RD
- Registered Dietitian
- Allegan, MI
National Provider Identifier
1003156803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 891977
- Practice address
- 555 Linn St
Allegan, MI 49010-1524 - Phone
- (269) 686-4251
- NPI assigned
- Feb 15, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 891977 | MI | Primary |
Addresses
Primary practice location
555 Linn St
Allegan, MI 49010-1524
Mailing address
555 Linn St
Ste 1
Allegan, MI 49010-1524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 891977 | MI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395273600000",
"number": "1003156803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 LINN ST",
"address_2": "STE 1",
"city": "ALLEGAN",
"state": "MI",
"postal_code": "490101524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 LINN ST",
"city": "ALLEGAN",
"state": "MI",
"postal_code": "490101524",
"telephone_number": "269-686-4251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEREKES",
"first_name": "LISA",
"middle_name": "M",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-15",
"last_updated": "2014-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "891977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allegan, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.