Active NPI
Lisa Wasilowski, RD, LDN, CDE
- Registered Dietitian
- New Kensington, PA
National Provider Identifier
1891953584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN002196
- Practice address
- 356 Freeport St
New Kensington, PA 15068-6071 - Phone
- (724) 367-2400
- Fax
- (724) 367-2401
- NPI assigned
- May 29, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN002196 | PA | Primary |
Addresses
Primary practice location
356 Freeport St
New Kensington, PA 15068-6071
Mailing address
356 Freeport St
New Kensington, PA 15068-6071
Phone (724) 367-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103600251 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN002196 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556150400000",
"number": "1891953584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 FREEPORT ST",
"city": "NEW KENSINGTON",
"state": "PA",
"postal_code": "150686071",
"telephone_number": "724-367-2400",
"fax_number": "724-367-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "356 FREEPORT ST",
"city": "NEW KENSINGTON",
"state": "PA",
"postal_code": "150686071",
"telephone_number": "724-367-2400",
"fax_number": "724-367-2401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASILOWSKI",
"first_name": "LISA",
"credential": "RD, LDN, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-29",
"last_updated": "2019-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN002196",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103600251",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Kensington, PA
- Charlotte Vermeulen, CRNP
- Vonzell Wade
- Walgreen Co (Walgreens #09344)
- Karen B. Walters, MA, NCC, LPC
- Blake Matthew Warner, DDS, PHD, MPH
- Mariah Lynnay Webb, LPN
- Mitchell A Weber, MD
- Nadia Weidner, DNP, PMHNP-BC
- Westmoreland Casemanagement and Supports, Inc.
- Westmoreland Casemanagement and Supports, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.