Organization Active NPI

Lisa S. Eichenbaum, Ms,RS,LD/N,P.a.

  • Registered Dietitian
  • Coral Gables, FL
National Provider Identifier
1013273028
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND 1266 Issued in FL
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

Updated by the provider on Apr 3, 2012

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.