Individual provider Active NPI

Lisa Caron Cohn, M.M.SC., M.ED., R.D.

  • Registered Dietitian
  • New York, NY
National Provider Identifier
1548303282
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
001188 Issued in NY
Practice address
1108 Park Ave
North Store
New York, NY 10128-1201
Phone
(212) 831-7900
Fax
(212) 831-3434
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 001188 NY Primary

Addresses

Primary practice location

1108 Park Ave
North Store
New York, NY 10128-1201

Mailing address

1108 Park Ave
North Store
New York, NY 10128-1201
Phone (212) 831-7900

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 Education

State licenses

LicenseStateTypeSpecialty
001188NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
LCC Nutrition Group, Inc. PastSince Jul 24, 2022 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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548303282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 PARK AVE",
            "address_2": "NORTH STORE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281201",
            "telephone_number": "212-831-7900",
            "fax_number": "212-831-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 PARK AVE",
            "address_2": "NORTH STORE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281201",
            "telephone_number": "212-831-7900",
            "fax_number": "212-831-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHN",
        "first_name": "LISA",
        "middle_name": "CARON",
        "name_prefix": "Ms.",
        "credential": "M.M.SC., M.ED., R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "001188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.