Individual provider Active NPI

Lisbeth Stephany Santiago Mercedes

  • Registered Dietitian
  • Lakeland, FL
National Provider Identifier
1750919148
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
14443 Issued in FL
Practice address
5229 Wood Thrush Way
Lakeland, FL 33811-1877
Phone
(787) 610-8067
NPI assigned
Mar 31, 2020
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2124OtherPRLICENSE
14443OtherFLLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lisame10@hotmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220727004212 PR Practitioner - Registered Dietitian Or Nutrition Professional 1355723081 Reassigns benefits to 1 organization
I20251020002712 FL Practitioner - Registered Dietitian Or Nutrition Professional 1355723081 Reassigns benefits to 1 organization

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
The Dietitians Group of West Florida, IncGroup PAC ID 0749417046, 6 clinicians

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

LicenseStateTypeSpecialty
14443FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
The Dietitians Group of West Florida, Inc. Dietitian, Registered CurrentSince Aug 25, 2025 Accepting new patients
Lisbeth Nutricionista LLC Nutritionist CurrentSince May 28, 2022 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.

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.

Verify at the official NPI Registry.