Lisandra Marie Cruz Diaz, RDN

Primary specialty

Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X

License

ND8243 Issued in FL

Practice address

114 Majorca Way Apt 201
Jupiter, FL 33458-1137

Phone

(407) 664-8128

NPI assigned

Dec 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Marjorie Nolan Cohn LLC

  • Registered Dietitian
  • New York, NY
  • NPI 1760825160

  Dietitian, Registered

  NPD (past)
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1619636131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 TURNBRIDGE DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588452",
            "telephone_number": "407-664-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MAJORCA WAY APT 201",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334581137",
            "telephone_number": "407-664-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ DIAZ",
        "first_name": "LISANDRA",
        "middle_name": "MARIE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND8243",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "FL",
            "license": "ND8243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Barbara Beaucher Cranford, BSN, RN, RNFA, CNOR
• Cranial Technologies, Inc.
• Creative Wellness LLC (Better Balance)
• Brittany Marie Cribbs
• Priscilla Cribe Holness, ARNP, FNP-C
• Merlin Cruz Hernandez
• Christopher Cucullu, DC
• Jason Montgomery Cuellar, MD
• Erika Kimberly Cullop, APRN
• Javier Cumerma, APRN-PMHNP

• Obesity and Weight Management Nutrition Registered Dietitian in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Obesity and Weight Management Nutrition Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.