Lisa Marie Fish, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND4621 Issued in FL

Practice address

648 Avenue I NW
Winter Haven, FL 33881-4080

Phone

(863) 224-3545

NPI assigned

Feb 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184768699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 AVENUE I NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814080",
            "telephone_number": "863-224-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 AVENUE I NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814080",
            "telephone_number": "863-224-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND4621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Love & Care, LLC
• First Step Health and Mobility
• First Step Therapy LLC
• Fischer Schemmer & Silbiger MD PA
• Frank J Fischer III, M.D.
• Mark Allen Fitez
• Courtney C Fitz
• Five Star Professional Home Care Staffing 2
• Khalilah Yvonne Flagg
• Jeffrey Flores

• Registered Dietitian in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.