Tara Liskov, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

000358 Issued in CT

Practice address

999 Silver LN
Suite 2a
Trumbull, CT 06611-5343

Phone

(203) 386-0044

Fax

(203) 377-4156

NPI assigned

Aug 4, 2005

Last updated

Jul 20, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Women's Health Care, LLC

  • Obstetrics & Gynecology Physician
  • Trumbull, CT
  • NPI 1992990188
  NPD Authorized official

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1245231802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 SILVER LN",
            "address_2": "SUITE 2A",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115343",
            "telephone_number": "203-386-0044",
            "fax_number": "203-377-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 SILVER LN",
            "address_2": "SUITE 2A",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115343",
            "telephone_number": "203-386-0044",
            "fax_number": "203-377-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISKOV",
        "first_name": "TARA",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-04",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "000358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee D Levy, PA-C
• Sean Levy, MD
• Dorette F Lewis-Senior, ND
• George Kenneth Lewis Jr., PHD
• Farrell Lindemann, MSW
• Aaron Harrison Lit
• Tim Joseph Livingston
• LJH Enterprises LLC
• Emmanuel Logiadis, MD
• Sara A. Lombardi, DPT

• Registered Dietitian in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.