Active NPI
Lisa Hill, RDN
- Registered Dietitian
- Cottonwood, AZ
National Provider Identifier
1144773755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86008834
- Practice address
- 269 S. Candy Lane
Cottonwood, AZ 86326-7022 - Phone
- (928) 639-6543
- Fax
- (928) 639-6340
- NPI assigned
- Jul 31, 2016
- 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 | 86008834 | IL | Primary |
Addresses
Primary practice location
269 S. Candy Lane
Cottonwood, AZ 86326-7022
Mailing address
1200 N. Beaver
Payer Credentialing
Flagstaff, AZ 86001
Phone (928) 213-6235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 234291 | Medicaid | AZ |
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 |
|---|---|---|---|
| 86008834 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Verde Valley Medical Center | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489622400000",
"number": "1144773755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N. BEAVER",
"address_2": "PAYER CREDENTIALING",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "86001",
"telephone_number": "928-213-6235",
"fax_number": "928-213-6292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 S. CANDY LANE",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863267022",
"telephone_number": "928-639-6543",
"fax_number": "928-639-6340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "LISA",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-31",
"last_updated": "2017-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "86008834",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "234291",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cottonwood, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.