Active NPI
Lisa Franco, MS,RDN,CSG,LD
- Registered Dietitian
- Osprey, FL
National Provider Identifier
1023415536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND8630
- Practice address
- 4404 Conchfish LN
Osprey, FL 34229-6848 - Phone
- (203) 505-0168
- NPI assigned
- Nov 26, 2014
- Last updated
- Jan 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND8630 | FL | Primary |
| Registered Dietitian | 133V00000X | 000172 | CT | |
| Renal Nutrition Registered Dietitian | 133VN1005X | |||
| Gerontological Nutrition Registered Dietitian | 133VN1101X |
Addresses
Primary practice location
4404 Conchfish LN
Osprey, FL 34229-6848
Mailing address
4404 Conchfish LN
Osprey, FL 34229-6848
Phone (203) 505-0168
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND8630 | FL | MD | Registered Dietitian |
| 000172 | CT | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1023415536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4404 CONCHFISH LN",
"city": "OSPREY",
"state": "FL",
"postal_code": "342296848",
"telephone_number": "203-505-0168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4404 CONCHFISH LN",
"city": "OSPREY",
"state": "FL",
"postal_code": "342296848",
"telephone_number": "203-505-0168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANCO",
"first_name": "LISA",
"name_prefix": "Ms.",
"credential": "MS,RDN,CSG,LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-26",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND8630",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "000172",
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1101X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Gerontological",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Osprey, FL
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- Free Your Mind Counseling Services, LLC
- Kristina Lei Graham, LMT
- Gretchen White LCSW, LLC
- Jai Grewal, M.D.
- Alla Gruman, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.