Active NPI
Lisa Lacroix, RDLD
- Registered Dietitian
- Summerville, SC
National Provider Identifier
1487261616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 506
- Practice address
- 5010 W Liberty Meadows Dr
Summerville, SC 29485-7939 - Phone
- (843) 801-7895
- NPI assigned
- Oct 1, 2020
- Last updated
- Oct 1, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 506 | SC | Primary |
Addresses
Primary practice location
5010 W Liberty Meadows Dr
Summerville, SC 29485-7939
Mailing address
5010 W Liberty Meadows Dr
Summerville, SC 29485-7939
Phone (843) 801-7895
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 |
|---|---|---|---|
| 506 | SC | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1487261616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5010 W LIBERTY MEADOWS DR",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294857939",
"telephone_number": "843-801-7895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5010 W LIBERTY MEADOWS DR",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294857939",
"telephone_number": "843-801-7895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACROIX",
"first_name": "LISA",
"credential": "RDLD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-01",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.