Active NPI
Lisa S Todd, RDN, LD
- Registered Dietitian
- Owensboro, KY
National Provider Identifier
1346667722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 239896
- Practice address
- 811 E Parrish Ave Ste 102
Owensboro, KY 42303-3258 - Phone
- (270) 688-2077
- Fax
- (270) 688-2078
- NPI assigned
- Mar 24, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN002193 | PA | |
| Registered Dietitian | 133V00000X | 719491 | IL | |
| Registered Dietitian | 133V00000X | 239896 | KY | Primary |
Addresses
Primary practice location
811 E Parrish Ave Ste 102
Owensboro, KY 42303-3258
Mailing address
PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330
Other practice location 1
2025 W Everly Brothers Blvd Ste 1A
Powderly, KY 42367-5401
Phone (270) 377-2600
Other practice location 2
1200 Barret Blvd
Henderson, KY 42420-4950
Phone (270) 844-8600
Other practice location 3
1213 N Main St
Beaver Dam, KY 42320-8955
Phone (270) 274-4771
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ltodd106991@direct.owensborohealth.org | ||
| Direct Messaging Address | ltodd106991@direct.owensborohealth.org | ||
| Direct Messaging Address | ltodd106991@direct.owensborohealth.org | ||
| Direct Messaging Address | ltodd106991@direct.owensborohealth.org |
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 |
|---|---|---|---|
| 719491 | IL | MD | Registered Dietitian |
| DN002193 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1346667722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23229",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423043229",
"telephone_number": "270-688-1330",
"fax_number": "270-688-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 E PARRISH AVE STE 102",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423033258",
"telephone_number": "270-688-2077",
"fax_number": "270-688-2078"
}
],
"practiceLocations": [
{
"address_1": "2025 W Everly Brothers Blvd Ste 1A",
"address_purpose": "LOCATION",
"city": "Powderly",
"state": "KY",
"postal_code": "423675401",
"country_code": "US",
"telephone_number": "270-377-2600",
"fax_number": "270-377-2610",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 Barret Blvd",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "KY",
"postal_code": "424204950",
"country_code": "US",
"telephone_number": "270-844-8600",
"fax_number": "270-844-8610",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1213 N Main St",
"address_purpose": "LOCATION",
"city": "Beaver Dam",
"state": "KY",
"postal_code": "423208955",
"country_code": "US",
"telephone_number": "270-274-4771",
"fax_number": "270-274-4884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TODD",
"first_name": "LISA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-24",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN002193",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "719491",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "239896",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ltodd106991@direct.owensborohealth.org",
"affiliation": "N",
"address_1": "1213 N Main St",
"city": "Beaver Dam",
"state": "KY",
"country_code": "US",
"postal_code": "423208955",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ltodd106991@direct.owensborohealth.org",
"affiliation": "N",
"address_1": "2025 W Everly Brothers Blvd Ste 1A",
"city": "Powderly",
"state": "KY",
"country_code": "US",
"postal_code": "423675401",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ltodd106991@direct.owensborohealth.org",
"affiliation": "N",
"address_1": "1200 Barret Blvd",
"city": "Henderson",
"state": "KY",
"country_code": "US",
"postal_code": "424204950",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ltodd106991@direct.owensborohealth.org",
"affiliation": "N",
"address_1": "1200 Barret Blvd",
"city": "Henderson",
"state": "KY",
"country_code": "US",
"postal_code": "424204950",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Owensboro, KY
- Brian W. Tinius, D.C.
- Larry H. Tinius, D.C.
- To the Max Behavior Therapy, LLC (To The Max Behavior Therapy)
- To the Max Behavior Therapy, LLC
- Bonnie Todd, OCCUPATIONAL THERAPI
- Maya Lynn Todd, MD
- Tom Watson's Prosthetics and Orthotics Lab, Inc.
- James Tomer, LCSW
- Joan Katherine Topp, APRN
- Jordan Lee Towery, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.