Active NPI
Lisbeth Stephany Santiago Mercedes
- Registered Dietitian
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 14443
- Practice address
- 5229 Wood Thrush Way
Lakeland, FL 33811-1877 - Phone
- (787) 610-8067
- NPI assigned
- Mar 31, 2020
- Last updated
- Aug 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 2124 | PR | |
| Registered Dietitian | 133V00000X | 14443 | FL | Primary |
Addresses
Primary practice location
5229 Wood Thrush Way
Lakeland, FL 33811-1877
Mailing address
5229 Wood Thrush Way
Lakeland, FL 33811-1877
Phone (787) 610-8067
Other practice location 1
2-6 Calle Munoz Rivera
Guaynabo, PR 00969
Phone (787) 610-8067
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2124 | Other | PR | LICENSE |
| 14443 | Other | FL | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lisame10@hotmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- University of Puerto Rico School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6318 Rowan Rd
New Port Richey, FL 34653-3400
Phone (727) 376-9757
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14443 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Dietitians Group of West Florida, Inc. | Dietitian, Registered | Current | Accepting new patients |
| Lisbeth Nutricionista LLC | Nutritionist | Current | Accepting new patients |
| Cloud Health Medical Group of New Jersey, P.C. | Single Specialty | Past | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Cloud Health Medical Group of California, P.C. | Single Specialty | Past | Accepting new patients |
| Cloud Health Medical Group, P.a. | Single Specialty | Past | Accepting new patients |
Locations
6318 Rowan Rd
New Port Richey, FL 34653
Phone (727) 376-9757
7143 State Road 54
New Prt Rchy, FL 34653
Phone (727) 919-3000
Organizations & group practices 6
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.
-
- Registered Dietitian
- Palm Harbor, FL
- NPI 1295161040
Dietitian, Registered
-
- Nutritionist
- Guaynabo, PR
- NPI 1508505413
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1194404327
Single Specialty
-
- Internal Medicine Physician
- Union City, NJ
- NPI 1043995467
Single Specialty
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754006400000",
"number": "1750919148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5229 WOOD THRUSH WAY",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338111877",
"telephone_number": "787-610-8067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5229 WOOD THRUSH WAY",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338111877",
"telephone_number": "787-610-8067"
}
],
"practiceLocations": [
{
"address_1": "2-6 Calle Munoz Rivera",
"address_purpose": "LOCATION",
"city": "Guaynabo",
"state": "PR",
"postal_code": "00969",
"country_code": "US",
"telephone_number": "787-610-8067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTIAGO MERCEDES",
"first_name": "LISBETH",
"middle_name": "STEPHANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-31",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nutritionist",
"state": "PR",
"license": "2124",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "14443",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "2124",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "14443",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lisame10@hotmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "Calle 28 U7 apt A1",
"address_2": "Bella Vista Gardens",
"city": "Bayamon",
"state": "PR",
"country_code": "US",
"postal_code": "00956",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.