Individual provider Active NPI

Liza Resurreccion Wuhl, MS, RD, LDN, CNSD

  • Registered Dietitian
  • Philadelphia, PA
National Provider Identifier
1669424727
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN003108 Issued in PA
Practice address
Red Lion Road and Knights Road
Nutrition Center
Philadelphia, PA 19145
Phone
(215) 612-4863
NPI assigned
May 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN003108 PA Primary

Addresses

Primary practice location

Red Lion Road and Knights Road
Nutrition Center
Philadelphia, PA 19145

Mailing address

182 Gay St
#1101
Philadelphia, PA 19128-4801
Phone (914) 261-2481

Other names 1

  • Liza B. Resurreccion Other name

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669424727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 GAY ST",
            "address_2": "#1101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191284801",
            "telephone_number": "914-261-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RED LION ROAD AND KNIGHTS ROAD",
            "address_2": "NUTRITION CENTER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19145",
            "telephone_number": "215-612-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUHL",
        "first_name": "LIZA",
        "middle_name": "RESURRECCION",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LDN, CNSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN003108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZA",
            "last_name": "RESURRECCION",
            "middle_name": "B.",
            "credential": "MS, RD, LDN, CNSD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.