Holistic Nutrition by Lisa

Primary specialty

Medical Foods SupplierTaxonomy code 335G00000X

License

CO869296 Issued in CA

Legal business name

HOLISTIC NUTRITION BY LISA

Practice address

2785 Roosevelt St
Suite B
Carlsbad, CA 92008-1779

Phone

(760) 705-5444

NPI assigned

Mar 22, 2014

Organization subpart

No

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

Authorized official

Name

Lisa Blake, CNC

Title

Certified Nutrition Consultant

Phone

(760) 705-5444

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1395446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395446400000",
    "number": "1669899118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3446 RAVINE DR",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920105557",
            "telephone_number": "760-705-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 ROOSEVELT ST",
            "address_2": "SUITE B",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081779",
            "telephone_number": "760-705-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC NUTRITION BY LISA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-22",
        "last_updated": "2014-03-22",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CERTIFIED NUTRITION CONSULTANT",
        "authorized_official_telephone_number": "760-705-5444",
        "authorized_official_credential": "CNC"
    },
    "taxonomies": [
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": "CA",
            "license": "CO869296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian N/a Hoang, RPH
• Brieanna Lynn Hockenberry
• Annabelle L Hodge
• John Hofer, D.D.S.
• Kelcey Louise Hokenson
• Holistic Psychsolutions, Inc
• Holland Spine Physical Therapy Inc
• Christopher J Hollers
• Alexa Jordan Holley
• Jennifer Holliday

• Medical Foods Supplier in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Medical Foods Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2014; 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.