Active NPI
Katherine Lalisan, R.D.N.
- Registered Dietitian
- Hoover, AL
National Provider Identifier
1184155152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 979
- Practice address
- 3239 Cornwall Dr
Hoover, AL 35226-2607 - Phone
- (205) 585-0694
- Fax
- (205) 978-3760
- NPI assigned
- Mar 22, 2017
- 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 | 979 | AL | Primary |
Addresses
Primary practice location
3239 Cornwall Dr
Hoover, AL 35226-2607
Mailing address
3239 Cornwall Dr
Hoover, AL 35226-2607
Phone (205) 585-0694
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Element Health, Inc. | Dietitian, Registered | Current | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1184155152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3239 CORNWALL DR",
"city": "HOOVER",
"state": "AL",
"postal_code": "352262607",
"telephone_number": "205-585-0694",
"fax_number": "205-978-3760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3239 CORNWALL DR",
"city": "HOOVER",
"state": "AL",
"postal_code": "352262607",
"telephone_number": "205-585-0694",
"fax_number": "205-978-3760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LALISAN",
"first_name": "KATHERINE",
"credential": "R.D.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-22",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.