Lisa M. Kruse, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD.3772 Issued in OH

Practice address

410 W 10TH Ave
Columbus, OH 43210-1240

Phone

(614) 293-5123

Fax

(614) 293-4890

NPI assigned

Apr 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Blocher Former name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Osu General Internal Medicine LLCGroup PAC ID 7517103955, 270 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Osu General Internal Medicine LLC

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1689919599
  Medicare reassignment Care Compare group NPD
• Osu Internal Medicine, LLC

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1740231448
  NPD (past)

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1861075798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-5123",
            "fax_number": "614-293-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W 10TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101240",
            "telephone_number": "614-293-5123",
            "fax_number": "614-293-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "LISA",
        "middle_name": "M.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.3772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BLOCHER",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul F. Krupa-Wilson, A.A.
• Leonid Krupovlyanskiy
• Adina Jade Marie Kruppa, CDCA
• Andrew Kruppa, MSW, LSW, LICDC
• Anna Kruse
• Zachary Bernard Kruse, CNP
• Patrice Genevieve Kruszewski, D.O.
• Kimberly A Kruthaup
• Andrew Krutilla
• Cynthia Kryc, RPH

• Registered Dietitian in Columbus, OH
• Providers in Columbus, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.