Active NPI
Lisa Hodgson, RD, CDN
- Registered Dietitian
- Saratoga Springs, NY
National Provider Identifier
1073637898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 002251-1
- Practice address
- 211 Church St
Saratoga Springs, NY 12866-1003 - Phone
- (518) 580-2481
- Fax
- (518) 583-8367
- NPI assigned
- Mar 19, 2007
- 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 | 002251-1 | NY | Primary |
Addresses
Primary practice location
211 Church St
Saratoga Springs, NY 12866-1003
Mailing address
211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 580-2481
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002251-1 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1073637898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 CHURCH ST",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128661003",
"telephone_number": "518-580-2481",
"fax_number": "518-583-8367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 CHURCH ST",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128661003",
"telephone_number": "518-580-2481",
"fax_number": "518-583-8367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGSON",
"first_name": "LISA",
"credential": "RD, CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "002251-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.