Lisa M Sherlock, CD
Individual provider Active NPI Registered Dietitian · Menomonee Falls, WI
NPI 1881997666 · NPPES record last updated Aug 20, 2013
Key facts
- NPI
- 1881997666
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2319 (WI)
- Practice address
- W180N8000 Town Hall Rd
Menomonee Falls, WI 53051-4002 - Phone
- (262) 532-3200
- NPI assigned
- Dec 16, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Aurora Advanced Healthcare, Inc.
Practice addresses (Care Compare)
1640 E Sumner St
Hartford, WI 53027-2684
Phone (262) 670-4000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110413000766 | WI | Practitioner - Registered Dietitian Or Nutrition Professional | 4183808215 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Aurora Advanced Healthcare, Inc. | Past | Accepting new patients |
Locations
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
1701 Fond du Lac Ave
Kewaskum, WI 53040
Phone (262) 626-4616
W180N8000 Town Hall Rd
Menomonee Falls, WI 53051
Phone (262) 255-2500
W129N7055 Northfield Dr
Menomonee Falls, WI 53051
Phone (262) 251-5305
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
1700 W Paradise Dr
West Bend, WI 53095
Phone (262) 334-3451
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2319 | WI | Yes |
Addresses
Primary practice location
W180N8000 Town Hall Rd
Menomonee Falls, WI 53051-4002
Mailing address
W180N8000 Town Hall Rd
Menomonee Falls, WI 53051-4002
Phone (262) 532-3200
Other names
- Lisa M Crivello
Other providers in Menomonee Falls, WI
- Bhavin Shastri
- Jennifer K Shaw
- Laurie Joan Shawger
- Shema and Buda Logistics LLC
- Dennis W Shepherd
- Leslie A Shoulders
- Jasmeet K Sidhu
- Brandyn Simmons
- Elliot M Simon
- Jacob Simonovich
All providers in Menomonee Falls, WI · Registered Dietitian in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.