Lisa Mikus, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86003765 Issued in TX

Practice address

80 University PL
New York, NY 10003-4564

Phone

(832) 766-4420

NPI assigned

Jun 8, 2014

Last updated

Jun 8, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1402185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402185600000",
    "number": "1922411891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E 39TH ST APT 35M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162137",
            "telephone_number": "832-766-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 UNIVERSITY PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034564",
            "telephone_number": "832-766-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKUS",
        "first_name": "LISA",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-08",
        "last_updated": "2014-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "86003765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irina Mikolaenko, MD
• Mia Paige Mikowicz
• Emilia Eva Mikrut, PH.D.
• Szymon Mikulski, MD
• Sara Mikulsky, PT
• Mila Mintsis Acupuncture LLC
• Skenderije Mila, LMSW
• Lauren Milac
• John Milad, PT, DPT
• Marina Milad

• Registered Dietitian in New York, NY
• Providers in New York, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2014; 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.