Lisa Ann Hardy, R.D. L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D-745 Issued in ID

Practice address

3910 Washington Pkwy
Idaho Falls, ID 83404-7596

Phone

(208) 523-1122

Fax

(208) 523-2582

NPI assigned

Feb 15, 2013

Last updated

Mar 13, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rocky Mountain Diabetes and Osteoporosis Center PAGroup PAC ID 5890750483, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FEFDAA
• Direct secure messaging: lisa.hardy.1@33233.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rocky Mountain Diabetes and Osteoporosis Center PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Idaho Falls, ID
  • NPI 1336220243
  Medicare reassignment Care Compare group NPD
• RM Lab LLC

  dba Express Lab

  • Clinical Medical Laboratory
  • Idaho Falls, ID
  • NPI 1659301349
  NPD

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1679813489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 WASHINGTON PKWY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047596",
            "telephone_number": "208-523-1122",
            "fax_number": "208-523-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 WASHINGTON PKWY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047596",
            "telephone_number": "208-523-1122",
            "fax_number": "208-523-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "R.D. L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ID",
            "license": "D-745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ray William Hanson, MD
• Rex Hanson, LSW
• Shasta Lee Hardee, LMSW-37764
• Elizabeth Roberta Harding, LCSW, CSW
• Camille Hardman, LPC, NCC
• Quincy Kaye Hardy, FNP-C
• Gracie Ann Hargraves, ED.D, LCPC
• Christopher Owen Harker, M.D.
• Wendy Harmen
• Lincoln Harmer

• Registered Dietitian in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Registered Dietitian in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.