LISA CARLSON (NPI# 1992233902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992233902 |
| Entity Type | Individual |
| Full Name | LISA CARLSON |
| Credential | RD, LDN |
| Practice Address |
16221 W 159th St Ste 102 Lockport IL 60441-7959 |
| Mailing Address |
175 E Hawthorn Pkwy Ste 235 Vernon Hills IL 60061-1454 |
| Practice Telephone | 8478683435 |
| Mailing Telephone | 8478683435 |
| Mailing Fax Number | 8478683435 |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2017-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 164007042 | IL | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629445200 | Lisa Carlson | Social Worker | 2254 W Farragut Ave, Apt 1f, Chicago, IL 60625-1802 | 2015-08-30 |
| 1669643292 | Lisa Carlson | Pharmacist | 66 Birdsong Pkwy, Orchard Park, NY 14127-3068 | 2008-03-24 |
| 1699860098 | Lisa Pitzer Carlson | Pharmacist | 100f West Dean Keeton, Austin, TX 78712-1006 | 2006-10-03 |
| 1811430952 | Lisa Carlson | Physical Therapist | 5525 Cedar Lake Rd S, Saint Louis Park, MN 55416-1420 | 2016-11-21 |
| 1730545682 | Lisa L Carlson | Peer Specialist | 1217 Riverside Ave, Fort Collins, CO 80524-3218 | 2016-01-07 |
| 1093051054 | Lisa Marie Carlson | Massage Therapist | 11734 15th Ave Ne, Seattle, WA 98125-5026 | 2012-12-19 |
| 1831485283 | Lisa Carlson | Counselor | 2149 Centennial Plz Ste 4, Eugene, OR 97401-2456 | 2011-06-23 |
| 1699070664 | Lisa Lynn Carlson | Pharmacist | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2011-01-21 |
| 1861636623 | Lisa Carlson | Marriage & Family Therapist | 621 Chapala St Ste C, Santa Barbara, CA 93101-7010 | 2009-04-23 |
| 1598772212 | Lisa Carlson | Internal Medicine | 101 E Wood Street, Medical Group of The Carolinas Inpatient Medicine, Spartanburg, SC 29303 | 2006-08-02 |
| Street Address |
16221 W 159TH ST STE 102 |
| City | LOCKPORT |
| State | IL |
| Zip Code | 60441-7959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720418916 | Melissa Obrien | Dietitian, Registered | 16221 W 159th St Ste 102, Lockport, IL 60441 | 2013-11-25 |
| 1295348142 | Arianne Kozeluh | Nutritionist | 16221 W 159th St Ste 102, Lockport, IL 60441-7902 | 2020-08-28 |
| 1871106815 | Brigita Kurtinyte | Nutritionist | 16221 W 159th St Ste 102, Lockport, IL 60441-7902 | 2020-08-28 |
| 1164078341 | Camelle Burlock | Counselor | 16221 W 159th St Ste 102, Lockport, IL 60441-7902 | 2019-08-14 |
| 1720641558 | Jacqueline Christine Fish-rossi | Counselor | 16221 W 159th St Ste 102, Lockport, IL 60441 | 2019-04-17 |
| 1760927909 | Michelle Rusch | Counselor | 16221 W 159th St Ste 102, Lockport, IL 60441-7902 | 2016-12-26 |
| 1629452958 | Rasa Ruzgys | Counselor | 16221 W 159th St Ste 102, Lockport, IL 60441-7902 | 2015-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366951840 | Samantha Jo Gehrig | Counselor | 16504 W 146th Pl, Lockport, IL 60441 | 2017-09-27 |
| 1275939415 | Walid Habbal | Dentist | 12612 S. Harlem Ave, Palos Heights, IL 60441 | 2014-11-17 |
| 1205240975 | Angelica Wujcik | Chiropractor | 420 Summit Drive, Lockport, IL 60441 | 2014-06-20 |
| 1033467535 | Trinity Services Inc. | Clinic/Center | 1017 S State St., Lockport, IL 60441 | 2012-08-15 |
| 1013219427 | Christopher David Baran | Nurse Anesthetist, Certified Registered | 1114 East Treeline Drive, Lockport, IL 60441 | 2010-11-18 |
| 1871736868 | Advanced Family Dental & Chiropractic of Lockport PC | Dentist | 730 South Washington St, Lockport, IL 60441 | 2009-04-07 |
| 1922292432 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 16241 South Farrell Rd, Lockport, IL 60441 | 2007-08-29 |
| 1407979438 | Joanne Adel Nasra | Developmental Therapist | 16136 Bent Grass Drive, Lockport, IL 60441 | 2007-04-06 |
| 1497800536 | Patrick Francis Healy | Dentist | 916 7th St, Lockport, IL 60441 | 2007-01-25 |
| 1043317282 | Paul Frederic Edelson | Pediatrics | 16622 159th St, Ste 1a, Lockport, IL 60441 | 2006-09-20 |
| Find all providers in zip 60441 | ||||
| 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 |
|---|---|---|---|---|
| 1720418916 | Melissa Obrien | Dietitian, Registered | 16221 W 159th St Ste 102, Lockport, IL 60441 | 2013-11-25 |
| 1497995013 | Jessica Anne Geiman | Dietitian, Registered | 107 Heath St, Lockport, NY 14094-1934 | 2009-02-22 |
| 1588219893 | Kim M. Bloomer, Rd, Cdn | Dietitian, Registered | 6334 Robinson Rd, Lockport, NY 14094-7977 | 2019-08-04 |
| 1265998165 | Nutrition Insights Pllc | Dietitian, Registered | 77 Elizabeth Dr, Lockport, NY 14094-5226 | 2019-02-15 |
| 1952873044 | Amanda Ayers | Dietitian, Registered | 16609 Blackfoot Dr, Lockport, IL 60441-1501 | 2018-12-30 |
| 1184102170 | Ams Nutrition Counseling Pllc | Dietitian, Registered | 64 Davison Ct, Lockport, NY 14094-5370 | 2018-08-01 |
| 1053819037 | Lisa Gebauer Smith | Dietitian, Registered | 111 Main St, Lockport, NY 14094-3718 | 2018-01-25 |
| 1144761487 | Tlc Nutrition Therapy Inc | Dietitian, Registered | 16609 Blackfoot Dr, Lockport, IL 60441-1501 | 2017-03-20 |
| 1801338041 | Ams Nutrition Counseling | Dietitian, Registered | 64 Davison Ct, Lockport, NY 14094-5370 | 2016-11-04 |
| 1457716508 | Jaclyn Sumsky | Dietitian, Registered | 16609 Blackfoot Dr, Lockport, IL 60441-1501 | 2015-12-16 |
| Find all providers in LOCKPORT | ||||
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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.