Lisa Ellen Eichenbaum, MS RD LDIN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND1266 Issued in FL

Practice address

58 Miracle Mile
Coral Gables, FL 33134-5404

Phone

(305) 445-4959

Fax

(305) 443-6116

NPI assigned

Oct 18, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Lisa Ellen Schomer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Barry a. Eichenbaum OD PA

  • Optometrist
  • Coral Gables, FL
  • NPI 1942477815
  NPD (past)
• Lisa S. Eichenbaum, Ms,RS,LD/N,P.a.

  • Registered Dietitian
  • Coral Gables, FL
  • NPI 1013273028

  Dietitian, Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1306835707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 MIRACLE MILE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345404",
            "telephone_number": "305-445-4959",
            "fax_number": "305-443-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 MIRACLE MILE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345404",
            "telephone_number": "305-445-4959",
            "fax_number": "305-443-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHENBAUM",
        "first_name": "LISA",
        "middle_name": "ELLEN",
        "credential": "MS RD LDIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND1266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "SCHOMER",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edward F. Lores M.D.P.a.
• Claudia Ann Edwards, PH.D.
• Luis A Eguiguren-Leon, MD
• Beauty Ehigiegba
• Barry A Eichenbaum, OD
• Gabrielle Eichler-Len, RMHCI
• Alana Beth Eichman, ATC, MED, PES
• Kathryn Claire Eisermann-Rogers, M.D.
• Alexander Chukwuemeka Ekwueme, MD
• El Encanto Medical Centers, Inc

• Registered Dietitian in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.

Verify at the official NPI Registry.