Active NPI
Lisa M. Pelusi, R.D.,L.D.
- Registered Dietitian
- Lorain, OH
National Provider Identifier
1306002191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 707050
- Practice address
- 3700 Kolbe Rd.
Lorain, OH 44053-1697 - Phone
- (440) 960-3555
- Fax
- (440) 960-3621
- NPI assigned
- Aug 1, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 707050 | OH | Primary |
Addresses
Primary practice location
3700 Kolbe Rd.
Lorain, OH 44053-1697
Mailing address
3700 Kolbe Rd.
Lorain, OH 44053-1697
Phone (440) 960-3555
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 |
|---|---|---|---|
| 707050 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447718400000",
"number": "1306002191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 KOLBE RD.",
"city": "LORAIN",
"state": "OH",
"postal_code": "440531697",
"telephone_number": "440-960-3555",
"fax_number": "440-960-3621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 KOLBE RD.",
"city": "LORAIN",
"state": "OH",
"postal_code": "440531697",
"telephone_number": "440-960-3555",
"fax_number": "440-960-3621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELUSI",
"first_name": "LISA",
"middle_name": "M.",
"credential": "R.D.,L.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-01",
"last_updated": "2015-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "707050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.