Lissette Mahoney, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86119382 Issued in AZ

Practice address

37429 N 17TH Ave
Phoenix, AZ 85086-7257

Phone

(623) 262-2218

NPI assigned

Aug 30, 2022

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

State licenses

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1245950237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37429 N 17TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850867257",
            "telephone_number": "623-262-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37429 N 17TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850867257",
            "telephone_number": "623-262-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "LISSETTE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "86119382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John H. Mahon, M.D.
• Rachel Grace Mahon
• David Richard Mahoney, MD
• Katherine Mahoney
• Kathleen Mahoney, RN MSN CPNP
• Matthew Ryan Mahoney, PHARMD
• Claude Mahoro
• Ray R. Mahoubi, M.D.
• Alysha Mahunik
• Peter Quang Minh Mai, MD

• Registered Dietitian in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.