Active NPI
Lisbeth M Irish, R.D. C.D.E.
- Registered Dietitian
- Albany, NY
National Provider Identifier
1285949404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000147-1
- Practice address
- 501 New Karner Rd
Ste 1a
Albany, NY 12205-3882 - Phone
- (518) 452-1337
- NPI assigned
- Aug 12, 2010
- 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 | 000147-1 | NY | Primary |
Addresses
Primary practice location
501 New Karner Rd
Ste 1a
Albany, NY 12205-3882
Mailing address
711 Troy Schenectady Rd Ste 203
Latham, NY 12110-2461
Phone (518) 782-3700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166DA1 | Other | NY | EMPIRE BLUECROSS BLUESHIELD |
| 04134685 | Medicaid | NY | |
| 7148118 | Other | NY | AETNA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000147-1 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sodexo Operations LLC | Dietitian, Registered | Past | Accepting new patients |
| Community Care Physicians, PLLC | 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.
-
- Family Medicine Physician
- Ballston Spa, NY
- NPI 1548541246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517356800000",
"number": "1285949404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 TROY SCHENECTADY RD STE 203",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102461",
"telephone_number": "518-782-3700",
"fax_number": "518-782-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 NEW KARNER RD",
"address_2": "STE 1A",
"city": "ALBANY",
"state": "NY",
"postal_code": "122053882",
"telephone_number": "518-452-1337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRISH",
"first_name": "LISBETH",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "R.D. C.D.E.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-12",
"last_updated": "2018-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "000147-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUECROSS BLUESHIELD",
"identifier": "166DA1",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04134685",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7148118",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.