Individual provider Active NPI

Liza Orengo, MPH, RD, CSR

  • Registered Dietitian
  • Madison, WI
National Provider Identifier
1134490691
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3359-29 Issued in WI
Practice address
1330 Waldorf Blvd Apt 202
Madison, WI 53719-4495
Phone
(704) 608-6613
Fax
(833) 679-0805
NPI assigned
Jan 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DI60127442 WA
Registered Dietitian 133V00000X 3359-29 WI Primary

Addresses

Primary practice location

1330 Waldorf Blvd Apt 202
Madison, WI 53719-4495

Mailing address

PO Box 45782
Madison, WI 53744-5782
Phone (608) 284-8642

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

LicenseStateTypeSpecialty
DI60127442WAMDRegistered Dietitian
3359-29WIMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1326499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1134490691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45782",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537445782",
            "telephone_number": "608-284-8642",
            "fax_number": "833-679-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 WALDORF BLVD APT 202",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537194495",
            "telephone_number": "704-608-6613",
            "fax_number": "833-679-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORENGO",
        "first_name": "LIZA",
        "credential": "MPH, RD, CSR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-14",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60127442",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "3359-29",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.