NPIMap

Organization Active NPI

Lisa Woodruff Nutrition, LLC

  • Registered Dietitian
  • Marion, IA
National Provider Identifier
1144947987
Registry record updated Jan 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
LISA WOODRUFF NUTRITION, LLC
Practice address
3355 Penny LN
Marion, IA 52302-9048
Phone
(515) 290-4541
Fax
(712) 248-8621
NPI assigned
Oct 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2024

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

Authorized official

Name
Lisa Woodruff, RDNNPI 1669064267
Title
Registered Dietitian & Owner
Phone
(515) 290-4541

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133N00000X
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

3355 Penny LN
Marion, IA 52302-9048

Mailing address

3355 Penny LN
Marion, IA 52302-9048

National Provider Directory

National Provider Directory
Tax ID family
Lisa Woodruff Nutrition LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706313600000",
    "number": "1144947987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 PENNY LN",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523029048",
            "fax_number": "712-248-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 PENNY LN",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523029048",
            "telephone_number": "515-290-4541",
            "fax_number": "712-248-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA WOODRUFF NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2024-01-27",
        "certification_date": "2024-01-27",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN & OWNER",
        "authorized_official_telephone_number": "515-290-4541",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2024; 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.