Lisa Robertson, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD002374 Issued in GA

Practice address

1026 Twelve Oaks PL Ste a
Watkinsville, GA 30677-4917

Phone

(404) 668-1976

NPI assigned

Feb 25, 2019

Last updated

Feb 25, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• BSH Health PA

  • Registered Dietitian
  • New York, NY
  • NPI 1679303465

  GA

  Medicare reassignment
• Ikrdconsulting LLC

  • Registered Dietitian
  • Watkinsville, GA
  • NPI 1700677192

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1326505595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 SPOTTED RIDGE CIR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 TWELVE OAKS PL STE A",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774917",
            "telephone_number": "404-668-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "LISA",
        "credential": "RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD002374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chaz Ripley, LAPC
• Julie Hudson Rivers, OTR/L
• Eric M Robach, MD
• Cynthia Jean Robbins, LPC
• Enrique Robbins Jr.
• Kimberly Rochwick, NBC-HWC
• Alyse Rogers, LAPC
• Brent Rollins, R.PH., PH.D.
• Dania Roque, RBT
• Benjamin Rosen, M.S.P.A.S., PA-C

• Registered Dietitian in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.