Lisa Chan, MS, RD, CSSD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

982645

Practice address

17890 E. Steamboat Ave
Building 35
Aurora, CO 80011

Phone

(720) 847-5699

NPI assigned

Sep 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1548788219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17890 E STEAMBOAT AVE",
            "address_2": "BLDG 35",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80011",
            "telephone_number": "720-847-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17890 E. STEAMBOAT AVE",
            "address_2": "BUILDING 35",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80011",
            "telephone_number": "720-847-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "LISA",
        "credential": "MS, RD, CSSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "982645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carter Chan, MD
• Christine L Chan, MD
• Christine M. Chan, M.D.
• Kenny Chan, MD
• Laurence Chan, MD
• Mallory Michelle Chan, M.D.
• Melvin Chan, MD
• Priya P Chan, MD
• Simey Chan
• Grace Sumiyo Chandler, MD

• Registered Dietitian in Aurora, CO
• Providers in Aurora, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.