LISA MARY BISHOP (NPI# 1205012713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205012713 |
| Entity Type | Individual |
| Full Name | LISA MARY BISHOP |
| Credential | M.S., R.D., C.D.E. |
| Practice Address |
112 Quarry Rd Suite 250 Trumbull CT 06611-4816 |
| Practice Telephone | 2033717048 |
| Practice Fax Number | 2033717066 |
| Mailing Telephone | 2033717048 |
| Mailing Fax Number | 2033717066 |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2014-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 000725 | CT | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720508781 | Lisa Dawn Bishop | Counselor | 1062 E 220 S, American Fork, UT 84003-5504 | 2017-06-21 |
| 1154540177 | Lisa Diane Bishop | Hearing Instrument Specialist | 4807 West Blvd, Poplar Bluff, MO 63901-8939 | 2007-04-25 |
| 1316035504 | Lisa C Bishop | Speech-Language Pathologist | 108 Willis Plaza, Gaffney, SC 29341 | 2006-10-11 |
| 1437150448 | Lisa Bishop | Optometrist | 1953 Glenfield Crossing Ct, St Augustine, FL 32092-5044 | 2005-08-02 |
| 1356831903 | Lisa Bishop | Nurse Practitioner | 145 Michigan St Ne Ste 5200, Grand Rapids, MI 49503 | 2018-05-18 |
| 1952791196 | Lisa Bishop | Counselor | 571 High St, Worthington, OH 43085-4132 | 2015-01-26 |
| 1972943439 | Lisa Bishop | Internal Medicine | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2013-06-28 |
| 1730464140 | Lisa N Bishop | Registered Nurse | 420 Cowpath Rd, Souderton, PA 18964-2036 | 2011-10-17 |
| 1912214669 | Lisa H Bishop | Nurse Practitioner | 1922 University Ave, Oxford, MS 38655-4114 | 2010-09-01 |
| 1376775437 | Lisa Ann Bishop | Pediatrics | 15245 Bluebird St Nw, Andover, MN 55304 | 2009-08-21 |
| Street Address |
112 QUARRY RD SUITE 250 |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-4816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649277518 | Kristen M Broedlin | Nurse Practitioner | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4816 | 2005-07-06 |
| 1386020238 | Kaitlyn O'brien | Physician Assistant | 112 Quarry Rd, Suite 250, Trumbull, CT 06611-4848 | 2015-08-03 |
| 1427446970 | Lauren Marie Freer | Physician Assistant | 112 Quarry Rd, Suite 250, Trumbull, CT 06611-4848 | 2015-01-07 |
| 1285067074 | Katherine M Masoud | Nurse Practitioner | 112 Quarry Rd, Suite 250, Trumbull, CT 06611-4816 | 2013-08-15 |
| 1588008007 | Donna Duris | Registered Nurse | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4816 | 2013-04-26 |
| 1922347335 | Michelle Johnson | Nurse Practitioner | 112 Quarry Rd, Suite 220, Trumbull, CT 06611-4816 | 2013-02-05 |
| 1104189992 | Molain Saintilus | Internal Medicine | 112 Quarry Rd, Suite 220, Trumbull, CT 06611-4848 | 2012-06-18 |
| 1205069838 | Shubnum Singh | Nurse Practitioner | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4816 | 2009-08-31 |
| 1033348255 | Hayley M Ball | Pharmacist | 112 Quarry Rd, Suite 280, Trumbull, CT 06611-4848 | 2009-07-09 |
| 1861647059 | Michael Patrick Pollock | Anesthesiology | 112 Quarry Rd, Trumbull, CT 06611-4848 | 2008-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153326 | Justin Elijah Brantley | Physical Therapist | 888 White Plains Road Suite 209, Trumbull, CT 06611 | 2020-01-14 |
| 1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
| 1891214458 | Rachel Lopes | Social Worker | 132 Monroe Turnpike, 3rd Floor Suite 1, Trumbull, CT 06611 | 2017-09-14 |
| 1588193981 | James Geisler | Counselor | 23 Wilmot Ave., Trumbull, CT 06611 | 2017-06-08 |
| 1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
| 1285087650 | Trumbull Pharmacy LLC | Pharmacy | 10 Broadway Road, Bldg B, Unit B, Trumbull, CT 06611 | 2016-07-20 |
| 1063897601 | Camilla Marie Schnaitmann | Social Worker | 132 Monroe Turnpike, Trumbull, CT 06611 | 2015-07-24 |
| 1194107318 | Alison R Kudish | Dentist | 160 Hawley Ln Ste 101, Trumbull, CT 06611 | 2015-06-24 |
| 1639456783 | Sagar Makanji | Pharmacist | 5065 Main Street, Ste Target, Target Pharmacy, Store 2361, Trumbull, CT 06611 | 2011-11-03 |
| 1639485956 | Beata Everett | Social Worker | 42 Craig Lane, Trumbull, CT 06611 | 2010-08-24 |
| Find all providers in zip 06611 | ||||
| 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 |
|---|---|---|---|---|
| 1548493265 | Lie Handali | Dietitian, Registered | 115 Technology Dr, Suite 107b, Trumbull, CT 06611-6337 | 2009-08-27 |
| 1245231802 | Tara Liskov | Dietitian, Registered | 999 Silver Ln, Suite 2a, Trumbull, CT 06611-5343 | 2005-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750882 | Lauren M Bush | Dietitian, Registered | 45 S Main St Ste 202, West Hartford, CT 06107-2402 | 2020-11-03 |
| 1528675972 | Kathryn Posillico | Dietitian, Registered | 29 Parker Ave, Stamford, CT 06906-1713 | 2020-09-29 |
| 1013524826 | Nicole Nyerick | Dietitian, Registered | 42 Willow Ct, Southington, CT 06489-3344 | 2020-09-25 |
| 1982211900 | Beth Saman | Dietitian, Registered | 150 Burwell Rd, New Hartford, CT 06057-4111 | 2020-09-24 |
| 1659985307 | Kathryn Balone | Dietitian, Registered | 23 Henry St Apt C, Greenwich, CT 06830-5809 | 2020-09-01 |
| 1952914301 | Louisa O'grady | Dietitian, Registered | 7 Beacon Hill Ter, Shelton, CT 06484-5905 | 2020-08-26 |
| 1245842228 | Hannah Yoo | Dietitian, Registered | 24 Old Farms Xing, Avon, CT 06001-2245 | 2020-08-20 |
| 1922619618 | Amy L Rapone | Dietitian, Registered | 67 Old Post Rd, Tolland, CT 06084-3342 | 2020-08-14 |
| 1700496361 | Cristina Gonzalez | Dietitian, Registered | 83 Morgan St Apt 5j, Stamford, CT 06905-5405 | 2020-08-07 |
| 1568071645 | Jillian Anastasia Wanik | Dietitian, Registered | 48 Sunnyledge St, New Britain, CT 06052-1604 | 2020-07-24 |
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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.