Lisa M.L. Babbo, RD LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.002832 Issued in IL

Practice address

836 W Wellington Ave
Immc-Department of Food and Nutrition Services
Chicago, IL 60657-5147

Phone

(773) 296-5822

Fax

(773) 296-5914

NPI assigned

Apr 23, 2008

Sex

Female

Sole proprietor

Yes

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 M. Leopoldo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1669647467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 W WELLINGTON AVE",
            "address_2": "IMMC-DEPARTMENT OF FOOD AND NUTRITION SERVICES",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575147",
            "telephone_number": "773-296-5822",
            "fax_number": "773-296-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 W WELLINGTON AVE",
            "address_2": "IMMC-DEPARTMENT OF FOOD AND NUTRITION SERVICES",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575147",
            "telephone_number": "773-296-5822",
            "fax_number": "773-296-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABBO",
        "first_name": "LISA",
        "middle_name": "M.L.",
        "name_prefix": "Mrs.",
        "credential": "RD LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.002832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "LEOPOLDO",
            "middle_name": "M.",
            "prefix": "MS.",
            "credential": "RD, LDN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nasim T Babazadeh, MD
• Emma Ashley Babb
• Lindsey Ann Babbin, M.D.
• Danielle A Babbington, DNP, APRN, FNP-BC
• Edna Marie Babbitt, M.ED., CCC-SLP
• Amrinder S Babbra
• Brianne Babcock
• Christine Babcock
• Jennifer Babcock, M.ED., CCC-SLP, CBIS
• Christopher Paul Babiarz, MD

• Registered Dietitian in Chicago, IL
• Providers in Chicago, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.