JACQUELYN LISING


Address: 911 Summitview Ct, Walnut, CA 91789
Phone: (909) 896-9103

JACQUELYN LISING (NPI# 1649799206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649799206
Entity Type Individual
Full Name JACQUELYN LISING
Credential MS, RDN
Practice Address 911 Summitview Ct
Walnut
CA 91789
Mailing Address 911 Summitview Ct
Walnut
CA 91789-4437
Practice Telephone (909) 896-9103
Mailing Telephone 9098969103
Enumeration Date 2017-09-14
Last Update Date 2017-09-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers

Office Location

Street Address 911 SUMMITVIEW CT
City WALNUT
State CA
Zip Code 91789

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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255508511 Rossia Tin Cheng Dietitian, Registered 20235 Lake Canyon Dr, Walnut, CA 91789-3519 2008-05-14

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1760083711 Gabriela E Zeagler Dietitian, Registered 1522 Halifax Way, El Dorado Hills, CA 95762-5841 2020-11-05
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1588264337 Apple Red Nutrition Services Dietitian, Registered 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 2020-10-30
1912507708 Eileen Hsiung Dietitian, Registered 830 Polaris Dr, Tustin, CA 92782-1720 2020-10-29
1912507831 Aneeta Maria Vedula Dietitian, Registered 4371 Lombard Ave, Fremont, CA 94536-4929 2020-10-29
1336749449 Sd Nutrition Group Dietitian, Registered 4295 Gesner St Ste 3a2, San Diego, CA 92117-6646 2020-10-28
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Competitor

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City WALNUT
Zip Code 91789

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Dataset Information

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.

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