Lisa Ann Ennessy, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

2010 S Arlington Heights Rd
Suite 310
Arlington Heights, IL 60005-4134

Phone

(847) 228-3200

NPI assigned

Nov 28, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1093881088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 W GRACE ST APT G101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 S ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 310",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054134",
            "telephone_number": "847-228-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNESSY",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.