Lisa Diffley, RD
Individual provider Active NPI Registered Dietitian · East Taunton, MA
NPI 1811768005 · NPPES record last updated Jan 16, 2024
Key facts
- NPI
- 1811768005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 804230 (MA)
- Practice address
- 88 Old Colony Ave
East Taunton, MA 02718-1114 - Phone
- (508) 207-3099
- NPI assigned
- Jan 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 804230 | MA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 804230 | MA | Yes |
Addresses
Primary practice location
88 Old Colony Ave
East Taunton, MA 02718-1114
Mailing address
88 Old Colony Ave
East Taunton, MA 02718-1114
Phone (508) 207-3099
Other providers in East Taunton, MA
- Michelle Bratti
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- Central Home Healthcare
- Linda Cohen
- Nancy Daponte
- Rose Drew
- Family 1St Personal Home Care LLC
- Amanda Frates
- Deborah Louise Gaudette
- Denise Marie Gilbert
All providers in East Taunton, MA · Registered Dietitian in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.