Julie Amber Lovisa, RD, CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

37001507A Issued in IN

Practice address

6913 N Main St
Granger, IN 46530-9601

Phone

(574) 647-6400

NPI assigned

Nov 2, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Julie Amber Lewis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1366433971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 DOUGLAS RD",
            "address_2": "STE. 300",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6913 N MAIN ST",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465309601",
            "telephone_number": "574-647-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVISA",
        "first_name": "JULIE",
        "middle_name": "AMBER",
        "credential": "RD, CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37001507A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "LEWIS",
            "middle_name": "AMBER",
            "credential": "RD, CD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roxanne Lewellen
• Kelli Lo, LSW
• Longenecker
• Manuel Lopez, DDS
• Sandra Lee Lovely, LCSW
• Luminary Hospice of South Bend, LLC
• Fred Luster, MPT
• Luxottica Retail North America Inc
• Thomas Patrick Lynch
• James V Macri, D.D.S., M.S.D.

• Registered Dietitian in Granger, IN
• Providers in Granger, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.