Active NPI
Lisa Heider Bertram, RD
- Registered Dietitian
- Cottonwood Heights, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 2744 E Fort Union Blvd
Cottonwood Heights, UT 84121-3447 - Phone
- (734) 330-1101
- NPI assigned
- Jun 24, 2024
- 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 | Primary |
Addresses
Primary practice location
2744 E Fort Union Blvd
Cottonwood Heights, UT 84121-3447
Mailing address
2744 E Fort Union Blvd
Cottonwood Heights, UT 84121-3447
Phone (734) 330-1101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241004001432 | WA | Practitioner - Registered Dietitian Or Nutrition Professional | 5890226542 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sensibly Sprouted LLC
Practice addresses (Care Compare)
4500 9TH Ave NE
Suite 300
Seattle, WA 98105-4762
Phone (360) 230-8202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sensibly Sprouted LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
16404 Smokey Point Blvd
Ste 308
Arlington, WA 98223
Phone (360) 230-8202
12 Bellwether Way
Ste 223
Bellingham, WA 98225
Phone (360) 230-8202
4500 9th Ave NE
Ste 300
Seattle, WA 98105
Phone (206) 234-6932
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1013751197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2744 E FORT UNION BLVD",
"city": "COTTONWOOD HEIGHTS",
"state": "UT",
"postal_code": "841213447",
"telephone_number": "734-330-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2744 E FORT UNION BLVD",
"city": "COTTONWOOD HEIGHTS",
"state": "UT",
"postal_code": "841213447",
"telephone_number": "734-330-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTRAM",
"first_name": "LISA",
"middle_name": "HEIDER",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-24",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cottonwood Heights, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.