Lisa M Grentz, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI00001146 Issued in WA

Practice address

825 SE Bishop Blvd Ste 130
Pullman, WA 99163-5517

Phone

(509) 336-7543

NPI assigned

May 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Public Hospital District #1-a of Whitman County

  • Critical Access Hospital
  • Pullman, WA
  • NPI 1366446767
  Medicare reassignment NPD
• Public Hospital District #1-a of Whitman County

  • Family Medicine Physician
  • Pullman, WA
  • NPI 1881475051

  Dietitian, Registered

  NPD
• Public Hospital District #1-a of Whitman County

  • Medicare Defined Swing Bed Hospital Unit
  • Pullman, WA
  • NPI 1750401006
  NPD (past)
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1164680849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 W ASHLEY AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992089284",
            "telephone_number": "509-921-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SE BISHOP BLVD STE 130",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635517",
            "telephone_number": "509-336-7543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11703 E Sprague Ave Ste C3",
            "address_2": "ATTN: VIENNA STEWART",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992066129",
            "country_code": "US",
            "telephone_number": "509-921-6560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRENTZ",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00001146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADA NUMBER",
            "identifier": "851519",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "8267353",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9051731",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1079596",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA CERTIFICATION NUMBER",
            "identifier": "DI00001146",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Methuel Andriano Vishnu Gordon, M.D.
• Christyonne P Gould, OTR/L
• Brendan Michael Gray
• Tyne E. Gray, LMP
• Nancy Gregory, A.R.N.P.
• Jennifer Griffin
• Anna Grindeland, RDN
• Madison Grogan, PHARMD
• Kimberley F Guida, MD
• Keith Gordon Haley, LICENSE MENTAL HEALT

• Registered Dietitian in Pullman, WA
• Providers in Pullman, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.