MRS. LISA WILSON MARTIN (NPI# 1952517955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952517955 |
| Entity Type | Individual |
| Full Name | MRS. LISA WILSON MARTIN |
| Credential | RD, MS, LDN |
| Practice Address |
11200 Galleria Avenue Raleigh NC 27614 |
| Mailing Address |
211 Friday Center Dr Suite 2091, Room 2094 Hedrick Building Chapel Hill NC 27517-9499 |
| Practice Telephone | 9195701511 |
| Practice Fax Number | 9195707751 |
| Mailing Telephone | 9849741191 |
| Mailing Fax Number | 9849741311 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2015-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
L002570 | NC | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | L002570 | NC | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598300857 | Lisa Marie Martin | Social Worker | 1720 N King St, Hampton, VA 23669-1910 | 2019-11-11 |
| 1508322033 | Lisa Martin | Licensed Practical Nurse | 582 Hawthorne Hts, Lawrenceburg, IN 47025-7956 | 2019-02-20 |
| 1477022929 | Lisa Martin | Social Worker | 161 Pond View Dr, Port Washington, NY 11050-2468 | 2018-11-14 |
| 1881053544 | Lisa Martin | Nurse Practitioner | 3201 S 7 Hwy, Blue Springs, MO 64014-5301 | 2016-02-23 |
| 1396127916 | Lisa Martin | Occupational Therapist | 76 Beard Dr, New Milford, CT 06776-3716 | 2015-06-19 |
| 1427494376 | Lisa Kay Martin | Nurse's Aide | 8275 96th Ave, Vero Beach, FL 32967-3848 | 2013-05-20 |
| 1730420134 | Lisa Marie Martin | Acupuncturist | 201 Auburn Way N Ste A1, Auburn, WA 98002-5062 | 2013-03-09 |
| 1427319052 | Lisa Marie Godfrey Martin | Psychologist | 206 W 1st Ave, Ellensburg, WA 98926-3002 | 2012-05-30 |
| 1376864603 | Lisa T Martin | Physical Therapist | 110 Pleasant Ave S, Park Rapids, MN 56470-1415 | 2010-06-22 |
| 1003139684 | Lisa Brown Martin | Pharmacist | 1710 Shelby Oaks Dr N, Ste 1, Memphis, TN 38134-7403 | 2010-03-10 |
| Street Address |
11200 GALLERIA AVENUE |
| City | RALEIGH |
| State | NC |
| Zip Code | 27614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215419379 | Patrick Orion Finn | Family Medicine | 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 | 2018-09-05 |
| 1538652557 | Amn Medical Group Pllc | General Practice | 13200 Falls of Neuse Rd Ste 113, Raleigh, NC 27614 | 2018-06-13 |
| 1497201727 | Kelsey Scheerer | Student in an Organized Health Care Education/Training Program | 11200 Governor Way, Raleigh, NC 27614 | 2016-08-28 |
| 1538521463 | Liane Rudd | Speech-Language Pathologist | 4700 Norbury Place, Raleigh, NC 27614 | 2016-03-21 |
| 1891088068 | Michelle Lynn Thompson | Pharmacist | 10930 Raven Ridge Road, Raleigh, NC 27614 | 2011-05-22 |
| 1821396185 | Bettye Jo Johnson | Physical Medicine & Rehabilitation | 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 | 2011-03-09 |
| 1982900650 | Blake Jennings Lamm | Pharmacist | 14460 New Falls of Neuse Rd, Suite 165, Raleigh, NC 27614 | 2011-01-28 |
| 1013223023 | Lauren S Lawler | Pharmacist | 11201 Durant Road, Raleigh, NC 27614 | 2010-08-27 |
| 1588985378 | Kashif Mazhar | General Acute Care Hospital | 10010 Falls of Neuse Road, Suite #12, Raleigh, NC 27614 | 2010-06-16 |
| 1922240100 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 14520 John Rex Blvd, Raleigh, NC 27614 | 2009-04-02 |
| Find all providers in zip 27614 | ||||
| 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 |
|---|---|---|---|---|
| 1154921997 | Lauren Annelise Prigge | Dietitian, Registered | 3636 Castlegate Dr, Raleigh, NC 27616-9551 | 2020-10-30 |
| 1801493291 | Fuel Nc Nutrition | Dietitian, Registered | 1107 Capital Blvd, Raleigh, NC 27603-1113 | 2020-10-08 |
| 1194331751 | Cindy Kang | Dietitian, Registered | 4621 Fielding Dr, Raleigh, NC 27606-4564 | 2020-09-18 |
| 1164032272 | Hannah Libera | Dietitian, Registered | 516 Phelps Ave, Raleigh, NC 27607-7260 | 2020-08-04 |
| 1265041693 | Liza Iv | Dietitian, Registered | 5931 Waterford Bluff Ln Apt 1533, Raleigh, NC 27612-7832 | 2020-07-31 |
| 1386261592 | Hannah Waspi | Dietitian, Registered | 110 Trinity Woods Dr, Raleigh, NC 27607-4948 | 2020-07-03 |
| 1760008098 | Julianne Tobin | Dietitian, Registered | 2260 Housecreek Trl Apt 105, Raleigh, NC 27607-3488 | 2020-06-23 |
| 1164044806 | Nancy Catherine Dyer | Dietitian, Registered | 4128 The Oaks Dr, Raleigh, NC 27606-3435 | 2020-05-16 |
| 1679102966 | Water and The Well | Dietitian, Registered | 3950 Fairsted Dr Apt 264, Raleigh, NC 27612-4545 | 2020-04-07 |
| 1326673922 | Janette Russell Lowe | Dietitian, Registered | 3916 Haithcock Road, Raleigh, NC 27604-4126 | 2020-03-04 |
| Find all providers in RALEIGH | ||||
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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.