Active NPI
Lisa Rostek, MS, RDN, LD
- Registered Dietitian
- Honolulu, HI
National Provider Identifier
1518478627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 915 N King St
Honolulu, HI 96817-4544 - Phone
- (303) 913-1198
- NPI assigned
- Oct 16, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 148-LD | HI | |
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
915 N King St
Honolulu, HI 96817-4544
Mailing address
600 Queen St Apt 4203
Honolulu, HI 96813-5184
Other names 1
- Lisa Fryda
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148-LD | HI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition With Lisa | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
1500 N Grant St
Ste 5916
Denver, CO 80203
1500 N Grant St
Denver, CO 80203
Phone (719) 603-0942
3129 Kingsley Dr
Pearland, TX 77584
Phone (281) 736-5079
Organizations & group practices 3
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": "1508112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1518478627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 QUEEN ST APT 4203",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968135184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 N KING ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968174544",
"telephone_number": "303-913-1198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSTEK",
"first_name": "LISA",
"credential": "MS, RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-16",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "HI",
"license": "148-LD",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "FRYDA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.