Lisa Stanek Vander Weerd, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1039462 Issued in KY

Practice address

2034 S Xenia Way
Denver, CO 80231-3361

Phone

(608) 320-5472

NPI assigned

Nov 11, 2020

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

Other names 1

• Ms. Lisa Marie Stanek Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1649872979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 S XENIA WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802313361",
            "telephone_number": "608-320-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 S XENIA WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802313361",
            "telephone_number": "608-320-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER WEERD",
        "first_name": "LISA",
        "middle_name": "STANEK",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "1039462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "STANEK",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Vance, PTA
• Amanda Leigh Vanconant, CNP
• Vanda Counseling Collaborative
• Joseph P Vande Griend, PHARM.D.
• Christina Vandenoever
• Dianna K. Vanderdoes, M.A. , L.P.C. ,
• Sandra Vandergoot, BCBA
• Todd Frederick Vanderheiden, MD
• Joseph Alexander Vanderhoff, MA, LPCC
• Jessica Vanderkwaak, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.