Active NPI
Lisa Blackman, M.S., R.D., L.D
- Registered Dietitian
- Arlington, TX
National Provider Identifier
1285070045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT82754
- Practice address
- 501 Rita LN Ste 113
Arlington, TX 76014-2010 - Phone
- (817) 468-9200
- NPI assigned
- May 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT82754 | TX | Primary |
Addresses
Primary practice location
501 Rita LN Ste 113
Arlington, TX 76014-2010
Mailing address
501 Rita LN Ste 113
Arlington, TX 76014-2010
Phone (817) 468-9200
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT82754 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DMT Endocrinology PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Arlington, TX
- NPI 1356823967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435622400000",
"number": "1285070045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 RITA LN STE 113",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760142010",
"telephone_number": "817-468-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 RITA LN STE 113",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760142010",
"telephone_number": "817-468-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKMAN",
"first_name": "LISA",
"name_prefix": "Ms.",
"credential": "M.S., R.D., L.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-20",
"last_updated": "2015-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT82754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.