Active NPI
Plus Wellbeing Medical Group PA
- Registered Dietitian
- Chevy Chase, MD
National Provider Identifier
1386507986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- PLUS WELLBEING MEDICAL GROUP PA
- Practice address
- 4445 Willard Ave Ste 600
Chevy Chase, MD 20815-3786 - Phone
- (617) 362-0233
- NPI assigned
- Dec 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lisa Czanko, MD
- Title
- President
- Phone
- (617) 362-0233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
4445 Willard Ave Ste 600
Chevy Chase, MD 20815-3786
Mailing address
4445 Willard Ave Ste 600
Chevy Chase, MD 20815-3786
Phone (312) 475-3560
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773619200000",
"number": "1386507986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4445 WILLARD AVE STE 600",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208153786",
"telephone_number": "312-475-3560",
"fax_number": "240-207-7728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4445 WILLARD AVE STE 600",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208153786",
"telephone_number": "617-362-0233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLUS WELLBEING MEDICAL GROUP PA",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-09",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A",
"authorized_official_last_name": "CZANKO",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-362-0233",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.