Active NPI
Lisa Marie Werner I, RD, CD
- Registered Dietitian
- Tacoma, WA
National Provider Identifier
1033431663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI 00000736
- Practice address
- 2104 N 30TH St Ste B
Tacoma, WA 98403-3341 - Phone
- (253) 279-6771
- Fax
- (253) 383-3615
- NPI assigned
- Feb 24, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI 00000736 | WA | Primary |
Addresses
Primary practice location
2104 N 30TH St Ste B
Tacoma, WA 98403-3341
Mailing address
727 N C St
Tacoma, WA 98403-2812
Phone (253) 279-6771
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI 00000736 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonspirit Washington | 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 and National Provider Directory roles.
-
dba Franciscan Pharmacy Tacoma
- Community/Retail Pharmacy
- Tacoma, WA
- NPI 1346588548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1033431663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "727 N C ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984032812",
"telephone_number": "253-279-6771",
"fax_number": "253-383-3615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2104 N 30TH ST STE B",
"city": "TACOMA",
"state": "WA",
"postal_code": "984033341",
"telephone_number": "253-279-6771",
"fax_number": "253-383-3615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNER",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"name_suffix": "I",
"credential": "RD, CD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-24",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI 00000736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.