Lisa Margaret Bellini, MS RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

609292 Issued in NY

Practice address

91 Boxford PL
San Ramon, CA 94583-3313

Phone

(925) 963-3663

NPI assigned

Feb 20, 2008

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

Other identifiers 1

Other names 1

• Mrs. Lisa Gergley Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1760650097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 BOXFORD PL",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945833313",
            "telephone_number": "925-963-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 BOXFORD PL",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945833313",
            "telephone_number": "925-963-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLINI",
        "first_name": "LISA",
        "middle_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "MS RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "609292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CA147626",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "GERGLEY",
            "prefix": "MRS.",
            "credential": "MS RD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Charlotte Behning
• Tabatha Beiser
• Sowmya Shree Bekkam, MD
• Wesley Bell
• Maria Bellamacina
• Leslie Beltran
• Ana Beltranmartinez
• Ahmad Ben Rached
• Betchoba A Benard
• Preeti Benawadi

• Registered Dietitian in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.