Individual provider Active NPI

Lisa Akerson, RD LD CDE

  • Registered Dietitian
  • Albuquerque, NM
National Provider Identifier
1053713644
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
808290 Issued in NM
Practice address
8800 Oakland Ave NE
Albuquerque, NM 87122-3848
Phone
(505) 321-3560
NPI assigned
Sep 25, 2014
Last updated
Sep 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 808290 NM Primary

Addresses

Primary practice location

8800 Oakland Ave NE
Albuquerque, NM 87122-3848

Mailing address

8800 Oakland Ave NE
Albuquerque, NM 87122-3848
Phone (505) 321-3560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180606000880 TX Practitioner - Registered Dietitian Or Nutrition Professional 1153686522 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
808290NMMDRegistered Dietitian

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": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1053713644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 OAKLAND AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223848",
            "telephone_number": "505-321-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 OAKLAND AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223848",
            "telephone_number": "505-321-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKERSON",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "RD LD CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NM",
            "license": "808290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.