Active NPI
Lisa Marie Canada, MS, RD, CSSD, CD-N
- Registered Dietitian
- Easton, CT
National Provider Identifier
1427935360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 001034
- Practice address
- 142 Wilson Rd
Easton, CT 06612-1621 - Phone
- (203) 395-3232
- NPI assigned
- Aug 20, 2025
- Last updated
- Aug 20, 2025
- 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 | 001034 | CT | Primary |
Addresses
Primary practice location
142 Wilson Rd
Easton, CT 06612-1621
Mailing address
142 Wilson Rd
Easton, CT 06612-1621
Phone (203) 395-3232
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001034 | CT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1427935360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 WILSON RD",
"city": "EASTON",
"state": "CT",
"postal_code": "066121621",
"telephone_number": "203-395-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 WILSON RD",
"city": "EASTON",
"state": "CT",
"postal_code": "066121621",
"telephone_number": "203-395-3232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANADA",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "MS, RD, CSSD, CD-N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-20",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "001034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.