Active NPI
Lisa Wolf, MS, RDN, LDN, CDCES
- Registered Dietitian
- Mooresville, NC
National Provider Identifier
1467066993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 914 Muirfield Dr
Mooresville, NC 28115-3447 - Phone
- (704) 591-0062
- NPI assigned
- Sep 2, 2020
- 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 | Primary |
Addresses
Primary practice location
914 Muirfield Dr
Mooresville, NC 28115-3447
Mailing address
914 Muirfield Dr
Mooresville, NC 28115-3447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250321001481 | NC | Practitioner - Registered Dietitian Or Nutrition Professional | 7618357070 |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
128 Chuzzlewit Down
Brentwood, TN 37027-7626
212 Tallowwood Dr
Westerville, OH 43081-4547
914 Muirfield Dr
Mooresville, NC 28115-3447
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 781 | NH | MD | Mental Health Counselor |
| 2329 | TN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fig Health, 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1467066993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 MUIRFIELD DR",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281153447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 MUIRFIELD DR",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281153447",
"telephone_number": "704-591-0062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "LISA",
"credential": "MS, RDN, LDN, CDCES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-02",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
- Jodi Winkelvoss, OTR/L
- Amy Majors Winstead, CNM
- With Gods Help, Licensed Clinical Social Work, LLC
- With Gods Help2 Licensed Clinical Social Work, PLLC
- Micahel Witkin, M.D.
- Renee Wolf, MSW, LCSW
- Steven Frederick Wolfe, MD
- Ana W Wolff, MA, CCC-SLP
- Madalynn D Wolter, CPO
- David Michael Wood, LCMHC, LCAS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.