Individual provider Active NPI

Lisa Cashman, M.S., R.D.

  • Registered Dietitian
  • Sea Cliff, NY
National Provider Identifier
1265613590
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
968162 Issued in NY
Practice address
85 Glenlawn Ave
Sea Cliff, NY 11579-1744
Phone
(917) 543-5472
NPI assigned
Nov 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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 968162 NY Primary

Addresses

Primary practice location

85 Glenlawn Ave
Sea Cliff, NY 11579-1744

Mailing address

85 Glenlawn Ave
Sea Cliff, NY 11579-1744
Phone (917) 543-5472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251231000251 NY Practitioner - Registered Dietitian Or Nutrition Professional 6800382748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

86 Tide Mill Ter
Fairfield, CT 06824-5653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
968162NYMDRegistered Dietitian
006596NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrigreene Group LLC Dietitian, Registered PastSince Sep 25, 2022 Accepting new patients
Nicole Barrato Dba Nutrigreene Dietitian, Registered PastSince May 16, 2021 Accepting new patients

Organizations & group practices 3

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": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1265613590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 GLENLAWN AVE",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791744",
            "telephone_number": "917-543-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 GLENLAWN AVE",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791744",
            "telephone_number": "917-543-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASHMAN",
        "first_name": "LISA",
        "credential": "M.S., R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "968162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Cliff, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.