Individual provider Active NPI

Lisa P Haverstick, RDN,CNSC,FAND

  • Metabolic Nutrition Registered Dietitian
  • Morristown, NJ
National Provider Identifier
1619479573
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
Practice address
435 South St Ste 330
Morristown, NJ 07960-6472
Phone
(973) 971-7101
Fax
(973) 290-7518
NPI assigned
Mar 6, 2018
Last updated
Mar 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered Dietitian 133VN1006X Primary

Addresses

Primary practice location

435 South St Ste 330
Morristown, NJ 07960-6472

Mailing address

435 South St Ste 330
Morristown, NJ 07960-6472
Phone (973) 971-7101

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

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1619479573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 SOUTH ST STE 330",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606472",
            "telephone_number": "973-971-7101",
            "fax_number": "973-290-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 SOUTH ST STE 330",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606472",
            "telephone_number": "973-971-7101",
            "fax_number": "973-290-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVERSTICK",
        "first_name": "LISA",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "RDN,CNSC,FAND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.