HOLISTIC NUTRITION BY LISA (NPI# 1669899118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669899118 |
| Entity Type | Organization |
| Organization Name | HOLISTIC NUTRITION BY LISA |
| Practice Address |
2785 Roosevelt St Suite B Carlsbad CA 92008-1779 |
| Mailing Address |
3446 Ravine Dr Carlsbad CA 92010-5557 |
| Practice Telephone | 7607055444 |
| Mailing Telephone | 7607055444 |
| Enumeration Date | 2014-03-22 |
| Last Update Date | 2014-03-22 |
| Authorized Official Name | LISA BLAKE (CERTIFIED NUTRITION CONSULTANT) |
| Authorized Official Telephone | 7607055444 |
| Authorized Official Credential | CNC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335G00000X | Medical Foods Supplier | CO869296 | CA | Suppliers |
| Street Address |
2785 ROOSEVELT ST SUITE B |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92008-1779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760029706 | Todd F Ovokaitys | Internal Medicine | 2260 Rutherford Road, Suite 101, C/o Gematria, Carlsbad, CA 92008 | 2019-12-10 |
| 1710548375 | San Diego Dental Anesthesia | Dentist | 1287 Carlsbad Village Drive, Carlsbad, CA 92008 | 2019-06-25 |
| 1972096717 | Toshiya Kawano | Chiropractor | 5650 El Camino Real Ste 285, Carlsbad, CA 92008 | 2018-06-06 |
| 1184111684 | Brittany Lauren Cheatham | Nurse Practitioner | 345 Walnut Ave, Carlsbad, CA 92008 | 2018-04-19 |
| 1770092843 | Michele Laporte Downey | Counselor | 2910 Jefferson St, Suite 100, Carsbad, CA 92008 | 2017-09-21 |
| 1225567142 | Shana Smith | Occupational Therapy Assistant | 5870 El Camino Real, Carlsbad, CA 92008 | 2017-06-05 |
| 1336690395 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2559 Camino Real Rd, Carlsbad, CA 92008 | 2016-10-14 |
| 1093174849 | Nhi Thi Diem Nguyen | Pharmacist | 6850 Avenida Encinas, Carlsbad, CA 92008 | 2016-02-22 |
| 1912362112 | Brooke Ann Bellomio | Psychologist | 2558 Roosevelt St. Suite 203, Carlsbad, CA 92008 | 2015-12-15 |
| 1285005660 | Thanh-trinh Doan | Optometrist | 2322 Rutherford Rd., Carlsbad, CA 92008 | 2015-10-12 |
| Find all providers in zip 92008 | ||||
| Taxonomy Code | 335G00000X |
| Grouping | Suppliers |
| Classification | Medical Foods Supplier |
| A supplier of special replacement foods for clients with errors of metabolism that prohibit them from eating a regular diet. Medical foods are lacking in the compounds which cause complications of the metabolic disorder, and are not generally available in grocery stores, health food stores, or pharmacies. |
| Notes: Source: The Children with Special Healthcare Needs (CSHCN) Services Program, a program of the Texas Department of State Health Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114474996 | H2ors, Inc. | Medical Foods Supplier | 21c Orinda Way, #269, Orinda, CA 94563-2534 | 2016-09-08 |
| 1558764803 | Vt Vitamins LLC | Medical Foods Supplier | 17811 Sky Park Cir Ste E, Irvine, CA 92614-6109 | 2014-10-01 |
| 1801341805 | Qu Limited | Medical Foods Supplier | 2118 Wilshire Blvd, 207, Santa Monica, CA 90403-5704 | 2016-08-18 |
| 1265803076 | Nutrition Care Plus | Medical Foods Supplier | 26572 Royale Dr, San Juan Capistrano, CA 92675-1412 | 2015-10-19 |
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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.