Lisa Carpenter, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

5086 Issued in FL

Practice address

4203 Belfort Rd Ste 204
Jacksonville, FL 32216-1463

Phone

(904) 450-6860

Fax

(904) 308-8699

NPI assigned

Sep 25, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Vincent'S Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• St Vincents Ambulatory Care Inc

  • Neurological Surgery Physician
  • Jacksonville, FL
  • NPI 1417987124
  Medicare reassignment Care Compare group NPD (past)
• St Vincents Ambulatory Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
  • NPI 1679226690
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1063662161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 BELFORT RD STE 204",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161463",
            "telephone_number": "904-450-6860",
            "fax_number": "904-308-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 BELFORT RD STE 204",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161463",
            "telephone_number": "904-450-6860",
            "fax_number": "904-308-8699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 W Monroe St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322041177",
            "country_code": "US",
            "telephone_number": "904-384-2240",
            "fax_number": "904-384-6055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "292 N Lake Cunningham Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "FL",
            "postal_code": "322597969",
            "country_code": "US",
            "telephone_number": "904-287-9574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "LISA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "5086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Miller LCSW, L.L.C.
• Abigail Sophia Carolan, MPAS, PA-C
• Caroline Creek Healthcare, Inc.
• Cole Carpenter, DMD
• Devoni' I Carpenter
• Michael Carpenter, PA-C
• Michael Hanson Carpenter
• Rachel Marie Carpenter, MD
• Stephen Timothy Carpenter, DDS
• April Carr

• Registered Dietitian in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.

Verify at the official NPI Registry.