Individual provider Active NPI

Lisa D Griffith, RD

  • Registered Dietitian
  • Port St Lucie, FL
National Provider Identifier
1578845509
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
969989 Issued in FL
Practice address
6709 Woods Island Cir
Apt 203
Port St Lucie, FL 34952-1483
Phone
(909) 213-3945
NPI assigned
Sep 15, 2011
Last updated
May 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 969989 CA
Registered Dietitian 133V00000X 969989 FL Primary

Addresses

Primary practice location

6709 Woods Island Cir
Apt 203
Port St Lucie, FL 34952-1483

Mailing address

6709 Woods Island Cir
Apt 203
Port St Lucie, FL 34952-1483
Phone (909) 213-3945

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

State licenses

LicenseStateTypeSpecialty
969989CAMDRegistered Dietitian
969989FLMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1578845509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6709 WOODS ISLAND CIR",
            "address_2": "APT 203",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349521483",
            "telephone_number": "909-213-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 WOODS ISLAND CIR",
            "address_2": "APT 203",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349521483",
            "telephone_number": "909-213-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "LISA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "969989",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "969989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.