LISA M STARK (NPI# 1083869879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083869879 |
| Entity Type | Individual |
| Full Name | LISA M STARK |
| Credential | RD |
| Practice Address |
5019 S Western Ave Ste 200 Sioux Falls SD 57108-5155 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6053289700 |
| Practice Fax Number | 6053289701 |
| Mailing Telephone | 6053289700 |
| Mailing Fax Number | 6053289701 |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2015-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 0389 | SD | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | 001838 | IA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649574781 | Lisa Ann Stark | Social Worker | 6288 Us Highway 441 Se, Okeechobee, FL 34974-2350 | 2011-01-04 |
| 1770776114 | Lisa G Stark | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2007-08-20 |
| Street Address |
5019 S WESTERN AVE STE 200 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57108-5155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548772601 | Kathryn Ann Radigan | Nurse Practitioner | 5019 S Western Ave Ste 200, Sioux Falls, SD 57108-5155 | 2017-10-30 |
| 1437401247 | Rebecca Risty | Nurse Practitioner | 5019 S Western Ave Ste 200, Sioux Falls, SD 57108-5155 | 2012-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735764 | Faith Carlson | Counselor | 5621 S. Southeastern Avenue, Suite 5625, Sioux Falls, SD 57108 | 2020-09-18 |
| 1063020196 | Emily Mensen | Physical Therapist | 4700 W 69th St, Sioux Falls, Sioux Falls, SD 57108 | 2020-07-15 |
| 1528695798 | Allison Mcentee | Physician Assistant | 3620 East Prairiewind Street, Sioux Falls, SD 57108 | 2020-03-26 |
| 1265935829 | Sioux Falls Audiology Associates | Clinic/Center | 4948 E. 57th Street, Sioux Falls, SD 57108 | 2018-03-09 |
| 1184124935 | Haley Elizabeth Luond | Chiropractor | 4900 E 57th Street, Suite B, Sioux Falls, SD 57108 | 2018-02-19 |
| 1770098881 | Yinan Zhao | Acupuncturist | 6001 S Sharon Ave Ste 6, Sioux Falls, SD 57108 | 2017-12-12 |
| 1447780796 | Sioux Falls Specialty Hospital, LLP | Special Hospital | 7600 South Minnesota Ave, Sioux Falls, SD 57108 | 2017-06-19 |
| 1952831786 | Brock T Nelsen | Dentist | 5121 S Solberg Ave #120, Sioux Falls, SD 57108 | 2017-06-14 |
| 1629517552 | Sarah Kenyon | Chiropractor | 6116 S Lyncrest Ave Ste 105, Sioux Falls, SD 57108 | 2017-02-12 |
| 1386029460 | Michelle Anne Pliska | Counselor | 5621 Southeastern Ave, Sioux Falls, SD 57108 | 2015-07-30 |
| Find all providers in zip 57108 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089116 | Brigitta Bly | Dietitian, Registered | 6500 E Steamboat Trl, Sioux Falls, SD 57110-8541 | 2020-09-29 |
| 1033745583 | Morgan Taylor Vander Zee | Dietitian, Registered | 4805 S Tribbey Trl, Sioux Falls, SD 57106-1989 | 2020-03-17 |
| 1780214395 | Lindsey Jo Baker | Dietitian, Registered | 8204 E Arctic Willow Cir, Sioux Falls, SD 57110-7000 | 2020-01-22 |
| 1841820610 | Rooted Nutrition Therapies, LLC | Dietitian, Registered | 2808 W 31st St, Sioux Falls, SD 57105-3310 | 2020-01-21 |
| 1326682170 | Myranda Dunmire | Dietitian, Registered | 4800 S Tennis Ln Apt 513, Sioux Falls, SD 57106-2261 | 2019-11-05 |
| 1538711213 | Ellisa Nyberg | Dietitian, Registered | 1417 N Dubuque Ave, Sioux Falls, SD 57110-6402 | 2019-07-12 |
| 1003398256 | Gavin Van De Walle | Dietitian, Registered | 1601 E 77th St Apt 1428, Sioux Falls, SD 57108-3036 | 2018-09-04 |
| 1780170688 | Andrea Jean Hanson | Dietitian, Registered | 1325 S Cliff Ave Ofc 1504a, Sioux Falls, SD 57105-1007 | 2018-07-03 |
| 1992291082 | Angela Kay Miller | Dietitian, Registered | 1704 N Notley Ct, Sioux Falls, SD 57110-6404 | 2018-07-02 |
| 1659667400 | Marsha Mcculloch | Dietitian, Registered | 7717 W Snapdragon St Unit 4, Sioux Falls, SD 57106-5173 | 2011-06-21 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57108 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.