Individual provider Active NPI

Lisa D Matheson Siemens, RD

  • Registered Dietitian
  • Boca Raton, FL
National Provider Identifier
1215212923
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND5281 Issued in FL
Practice address
21261 Harrow CT
Boca Raton, FL 33433-7453
Phone
(561) 809-5472
NPI assigned
Oct 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X ND5281 FL Primary

Addresses

Primary practice location

21261 Harrow CT
Boca Raton, FL 33433-7453

Mailing address

21261 Harrow CT
Boca Raton, FL 33433-7453
Phone (561) 809-5472

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

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1215212923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21261 HARROW CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337453",
            "telephone_number": "561-809-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21261 HARROW CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337453",
            "telephone_number": "561-809-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHESON SIEMENS",
        "first_name": "LISA",
        "middle_name": "D",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND5281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.