Lisa Schrader, MS, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.007414 Issued in IL

Practice address

733 Chicago Ave Unit 505
Evanston, IL 60202-2381

Phone

(630) 779-0120

NPI assigned

Jun 29, 2020

Reactivated

Aug 9, 2023

Sex

Female

Sole proprietor

No

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 TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1740807437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 CHICAGO AVE UNIT 505",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022381",
            "telephone_number": "630-779-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 CHICAGO AVE UNIT 505",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022381",
            "telephone_number": "630-779-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRADER",
        "first_name": "LISA",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2023-08-09",
        "certification_date": "2021-09-14",
        "deactivation_date": "2021-09-14",
        "reactivation_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.007414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane M. Schmitt, CRNA
• Ava Schneider, MA
• Leanna Schneider, LCSW
• Karen Schneidman, LCSW
• Sydney W Schneidman, MD, FACEP, FCEM
• Kristen Marie Schraml, M.ED.
• Stephen Joseph Schrantz Jr., M.D.
• Aaron Schreiber, DC
• Ellen Catherine Schreiner, LPC
• Steve Michael Schreiner, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.