Active NPI
Lisa M Davis, R.D., L.D.
- Registered Dietitian
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D00091
- Practice address
- 6565 N Charles St
Ste 507
Baltimore, MD 21204-6800 - Phone
- (443) 849-2036
- NPI assigned
- Sep 28, 2006
- Last updated
- Jul 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D00091 | MD | Primary |
Addresses
Primary practice location
6565 N Charles St
Ste 507
Baltimore, MD 21204-6800
Mailing address
PO Box 631568
Baltimore, MD 21263-1568
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.41 of 100
- Quality
- 85.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D00091 | MD | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Baltimore Medical Center, Inc. | Current | Accepting new patients | |
| Greater Baltimore Medical Center, Inc. | Current | Accepting new patients | |
| Greater Baltimore Medical Center, Inc | Current | Accepting new patients |
Locations
6569 N Charles St
Ste 300
Baltimore, MD 21204
Phone (443) 849-2036
6535 N Charles St
Ste 100
Towson, MD 21204
Phone (410) 580-2480
6565 N Charles St
Ste 203
Towson, MD 21204
Phone (410) 828-3760
6565 N Charles St
Ste 507
Towson, MD 21204
Phone (410) 666-6661
6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767
Organizations & group practices 3
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.
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- NPI 1538029731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1750472031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631568",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212631568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 N CHARLES ST",
"address_2": "STE 507",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212046800",
"telephone_number": "443-849-2036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LISA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "R.D., L.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "D00091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.