Lisa Marie Testolin, M.S., R.D., LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

720034 Issued in IL

Practice address

132 W Lake St
Bloomingdale, IL 60108-1020

Phone

(630) 550-0429

NPI assigned

Feb 18, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Lisa'S Nutrition Hub, LLC.

  • Metabolic Nutrition Registered Dietitian
  • Bloomingdale, IL
  • NPI 1518720796

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700352000000",
    "number": "1902265952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 ERIE CIR",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601088813",
            "telephone_number": "630-550-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 W LAKE ST",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081020",
            "telephone_number": "630-550-0429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Erie Cir",
            "address_purpose": "LOCATION",
            "city": "Bloomingdale",
            "state": "IL",
            "postal_code": "601088813",
            "country_code": "US",
            "telephone_number": "630-550-0429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TESTOLIN",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S., R.D., LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2023-11-19",
        "certification_date": "2023-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "IL",
            "license": "164.000412",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "720034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamaya Counseling Center
• Marlene Tang, APRN
• Linda M Tayeh, MD
• Steven Frederick Tempel, DDS
• Sylwia Termena
• Arti R Thakkar, BS
• Mahasweta M Thakkar, P.T.A.
• Sanjana Thakkar
• The Behavioral Solutions Group, PLLC
• Michelle Nicole Thennes, MPT

• Registered Dietitian in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.