Lisa M Stark, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

0389 Issued in SD

Practice address

5019 S Western Ave Ste 200
Sioux Falls, SD 57108-5155

Phone

(605) 328-9700

Fax

(605) 328-9701

NPI assigned

Nov 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1083869879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-9700",
            "fax_number": "605-328-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 S WESTERN AVE STE 200",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085155",
            "telephone_number": "605-328-9700",
            "fax_number": "605-328-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "001838",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SD",
            "license": "0389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Stanke
• Matthew B Stanley, D.O.
• Erin Stansbury
• Christopher M Stanton, M.D.
• Starfish, LLC
• David Charles Starks, MD
• Rachel Diaz Starks, M.D., PH.D.
• Starlight ABA SD LLC
• Lena Starovoytov, BSN, RN
• Patrick Joseph Starr II

• Registered Dietitian in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Registered Dietitian in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.