Active NPI
Lisa Ann Lisiewski, RD
- Registered Dietitian
- Stamford, CT
National Provider Identifier
1285335190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000745
- Practice address
- 85 Camp Ave Apt 11K
Stamford, CT 06907-1840 - Phone
- (203) 273-3087
- NPI assigned
- Mar 16, 2023
- 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 | 000745 | CT | Primary |
Addresses
Primary practice location
85 Camp Ave Apt 11K
Stamford, CT 06907-1840
Mailing address
85 Camp Ave Apt 11K
Stamford, CT 06907-1840
Phone (203) 273-3087
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000745 | CT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nutrition Inc. Now, LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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": "1678924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1285335190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 CAMP AVE APT 11K",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069071840",
"telephone_number": "203-273-3087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 CAMP AVE APT 11K",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069071840",
"telephone_number": "203-273-3087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISIEWSKI",
"first_name": "LISA",
"middle_name": "ANN",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-16",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "000745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.