Lisa Rochelle Graham, RN, BSN, CDE

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

RN135816 Issued in GA

Practice address

279 W Crogan St
Lawrenceville, GA 30046-6914

Phone

(404) 396-4417

NPI assigned

Jul 13, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

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

• Renew and Live, LLC

  • Diabetes Educator Registered Nurse
  • Grayson, GA
  • NPI 1033617261
  NPD Authorized official

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1699790253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 OAK RD UNIT 1541",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300781914",
            "telephone_number": "404-396-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 W CROGAN ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466914",
            "telephone_number": "404-396-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "LISA",
        "middle_name": "ROCHELLE",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "GA",
            "license": "RN135816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Grady, PARAMEDIC
• Margaret W Grady, CRNA
• Sheetal Dama Graffagnini, PT
• Kristine Graham, LPC
• Latrina Graham, RN
• Nicole Teresa Graham, APRN
• Nolan Gregory Graham, MD
• Grand Therapeutic Services LLC
• Krista Lee Granger, APRN
• Keionna Danay Grant, M.D.

• Nutrition Education Nutritionist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Nutrition Education Nutritionist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.