Individual provider Active NPI

Lisa Nicole Beilman, RD, LDN

  • Registered Dietitian
  • East Norriton, PA
National Provider Identifier
1396472791
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86115822 Issued in PA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DN007315OtherPASTATE BOARD OF NURSING
86115822OtherPACOMMISSION 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

LicenseStateTypeSpecialty
86115822PAMDRegistered 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.

Verify at the official NPI Registry.