Active NPI
Lisa Nicole Beilman, RD, LDN
- Registered Dietitian
- East Norriton, PA
National Provider Identifier
1396472791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86115822
- Practice address
- 190 W Germantown Pike Ste 155
East Norriton, PA 19401-1383 - Phone
- (610) 229-9060
- Fax
- (610) 229-9060
- NPI assigned
- Aug 4, 2022
- Last updated
- Aug 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86115822 | PA | Primary |
Addresses
Primary practice location
190 W Germantown Pike Ste 155
East Norriton, PA 19401-1383
Mailing address
303 S Olive St Apt 2
Media, PA 19063-3723
Phone (570) 647-9138
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN007315 | Other | PA | STATE BOARD OF NURSING |
| 86115822 | Other | PA | COMMISSION ON DIETETIC REGISTRATION |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86115822 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1396472791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 S OLIVE ST APT 2",
"city": "MEDIA",
"state": "PA",
"postal_code": "190633723",
"telephone_number": "570-647-9138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 W GERMANTOWN PIKE STE 155",
"city": "EAST NORRITON",
"state": "PA",
"postal_code": "194011383",
"telephone_number": "610-229-9060",
"fax_number": "610-229-9060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEILMAN",
"first_name": "LISA",
"middle_name": "NICOLE",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-04",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "86115822",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF NURSING",
"identifier": "DN007315",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "86115822",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Norriton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.