Active NPI
Lisa's Nutrition Hub, LLC.
- Metabolic Nutrition Registered Dietitian
- Bloomingdale, IL
National Provider Identifier
1518720796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- Legal business name
- LISA'S NUTRITION HUB, LLC.
- Practice address
- 132 W Lake St
Bloomingdale, IL 60108-1020 - Phone
- (630) 550-0429
- NPI assigned
- Jan 31, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lisa Marie Testolin, MS, RD, LDN
- Title
- Owner/Registred Dietitian
- Phone
- (630) 550-0429
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Pediatric Nutrition Registered Dietitian | 133VN1004X | |||
| Metabolic Nutrition Registered Dietitian | 133VN1006X | Primary | ||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X |
Addresses
Primary practice location
132 W Lake St
Bloomingdale, IL 60108-1020
Mailing address
327 Erie Cir
Bloomingdale, IL 60108-8813
Phone (630) 550-0429
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Bloomingdale, IL
- NPI 1902265952
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706659200000",
"number": "1518720796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 ERIE CIR",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601088813",
"telephone_number": "630-550-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 W LAKE ST",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601081020",
"telephone_number": "630-550-0429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISA'S NUTRITION HUB, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-31",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A",
"authorized_official_last_name": "TESTOLIN",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER/REGISTRED DIETITIAN",
"authorized_official_telephone_number": "630-550-0429",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS, RD, LDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": null,
"license": null,
"primary": true
},
{
"code": "133VN1201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomingdale, IL
- Sharon A Levato, DDS
- Lexington Health Care Center of Bloomingdale Inc
- Lexington Health Care Center of Bloomingdale, Inc.
- LHCC of Bloomingdale
- Like Our Own Home Care LLC
- Frank C Liu, OTR
- Livingwell Clinic PLLC (LivingWell Clinic)
- Christian Harvey S. Llobrera
- Danielle Lucio-Tierney, LCPC
- Bill R Ludemann Jr., DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.