Active NPI
Molly Elizabeth Liss, RDN
- Registered Dietitian
- Sterling, VA
National Provider Identifier
1114557246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86130097
- Practice address
- 36 Dulany CT
Sterling, VA 20165-5692 - Phone
- (317) 509-9108
- NPI assigned
- Jan 16, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 86130097 | IN | Primary |
Addresses
Primary practice location
36 Dulany CT
Sterling, VA 20165-5692
Mailing address
8810 Calumet Dr
Indianapolis, IN 46236-9031
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 |
|---|---|---|---|
| 86130097 | IN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Medical Center Kaufman, LTD | Past | Accepting new patients |
Interoperability endpoints
- molly.liss.p4@direct.caremorewest.nextgenshare.com
- molly.liss.p1@direct.caremorewest.nextgenshare.com
- molly.liss.p5@direct.caremorewest.nextgenshare.com
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632873600000",
"number": "1114557246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8810 CALUMET DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462369031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 DULANY CT",
"city": "STERLING",
"state": "VA",
"postal_code": "201655692",
"telephone_number": "317-509-9108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISS",
"first_name": "MOLLY",
"middle_name": "ELIZABETH",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-16",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "86130097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.