Active NPI
Lisa S. Eichenbaum, Ms,RS,LD/N,P.a.
- Registered Dietitian
- Coral Gables, FL
National Provider Identifier
1013273028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND 1266
- Legal business name
- LISA S. EICHENBAUM, MS,RS,LD/N,P.A.
- Practice address
- 58 Miracle Mile
Coral Gables, FL 33134-5404 - Phone
- (305) 445-4959
- Fax
- (305) 443-6116
- NPI assigned
- Apr 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lisa S Eichenbaum, MS,RD,LD/N
- Title
- President
- Phone
- (305) 445-4959
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND 1266 | FL | Primary |
Addresses
Primary practice location
58 Miracle Mile
Coral Gables, FL 33134-5404
Mailing address
58 Miracle Mile
Coral Gables, FL 33134-5404
Phone (305) 445-4959
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Coral Gables, FL
- NPI 1023007317
-
- Registered Dietitian
- Coral Gables, FL
- NPI 1306835707
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333411200000",
"number": "1013273028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 MIRACLE MILE",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331345404",
"telephone_number": "305-445-4959",
"fax_number": "305-443-6116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 MIRACLE MILE",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331345404",
"telephone_number": "305-445-4959",
"fax_number": "305-443-6116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISA S. EICHENBAUM, MS,RS,LD/N,P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-03",
"last_updated": "2012-04-03",
"status": "A",
"authorized_official_last_name": "EICHENBAUM",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-445-4959",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS,RD,LD/N"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND 1266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.