MRS. LISA GAIL BROWN (NPI# 1902039548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902039548 |
| Entity Type | Individual |
| Full Name | MRS. LISA GAIL BROWN |
| Credential | RD,LD,CDE |
| Practice Address |
6401 University Ave Ne Suite 200 Fridley MN 55432-4341 |
| Practice Telephone | 7635024877 |
| Practice Fax Number | 7638566906 |
| Mailing Telephone | 7635024877 |
| Mailing Fax Number | 7638566906 |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2009-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1036 | MN | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710523774 | Lisa Diane Brown | Social Worker | W3950 Wi-23 Trunk, Fond Du Lac, WI 54937 | 2019-11-25 |
| 1821558164 | Lisa Brown | Nurse Practitioner | 63532 29 Palms Hwy., Suite C, Joshua Tree, CA 92252 | 2019-03-22 |
| 1700343738 | Lisa Brown | Counselor | 1151 Pocono Blvd, Mount Pocono, PA 18344-1033 | 2019-02-26 |
| 1144700196 | Lisa Anne Brown | Registered Nurse | 1860 County Road 217, Breckenridge, TX 76424-8749 | 2018-08-20 |
| 1639668775 | Lisa Ann Brown | Registered Nurse | 168 Ekvall Ln, Dunlap, TN 37327-7731 | 2018-05-03 |
| 1790293892 | Lisa H Brown | Counselor | 3233 S Sherwood Forest Blvd Ste 203b, Baton Rouge, LA 70816-2250 | 2018-01-11 |
| 1407395924 | Lisa Brown | Speech-Language Pathologist | 5900 Memorial Dr Ste 302, Houston, TX 77007-8008 | 2017-02-16 |
| 1326599978 | Lisa Brown | Social Worker | 8737 Veterans Hwy, Millersville, MD 21108-2046 | 2016-10-19 |
| 1447604210 | Lisa Brown | Registered Nurse | 1000 Stillcreek Dr, Dayton, OH 45458-3220 | 2016-04-19 |
| 1780043141 | Lisa Brown | Psychiatric Residential Treatment Facility | 5921 County Road 647, Hornersville, MO 63855-9811 | 2016-02-14 |
| Street Address |
6401 UNIVERSITY AVE NE SUITE 200 |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-4341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669433207 | Cecil Emerson Bassett | Obstetrics & Gynecology | 6401 University Ave Ne, Fridley, MN 55432-4341 | 2006-03-31 |
| 1902430960 | Gloria Jean Nance | Community Health Worker | 6401 University Ave Ne, Fridley, MN 55432-4341 | 2020-02-28 |
| 1144616509 | Fairview Express Care | Internal Medicine | 6401 University Ave Ne, Second Floor, Fridley, MN 55432-4341 | 2015-04-13 |
| 1417365479 | Matthew Sorensen | Physical Therapist | 6401 University Ave Ne, Fridley, MN 55432-4341 | 2014-07-22 |
| 1922361328 | Amanda Kathryn Hilligoss | Physical Therapist | 6401 University Ave Ne, Fridley, MN 55432-4320 | 2012-06-20 |
| 1659674364 | John F. Bartels | Physical Therapist | 6401 University Ave Ne, Fridley, MN 55432-4341 | 2010-12-20 |
| 1073829750 | Amy Moore | Registered Nurse | 6401 University Ave Ne, Suite 100, Fridley, MN 55432-4341 | 2010-08-19 |
| 1295061935 | Deborah Lynn Elsen | Registered Nurse | 6401 University Ave Ne, #200, Fridley, MN 55432-4341 | 2009-10-31 |
| 1811123516 | Anthony J Flink | Physical Therapy Assistant | 6401 University Ave Ne, 105, Fridley, MN 55432-4341 | 2009-06-09 |
| 1518153865 | Jennifer Leanne Williams | Physical Therapist | 6401 University Ave Ne, Fridley, MN 55432-4341 | 2007-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| 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 |
|---|---|---|---|---|
| 1073935219 | Jill Marrone | Dietitian, Registered | 500 Osborne Rd Ne, Suite 200, Fridley, MN 55432-2765 | 2014-01-07 |
| 1164844304 | Michelle Mezera | Dietitian, Registered | 500 Osborne Rd Ne, Suite 200, Fridley, MN 55432-2765 | 2014-01-07 |
| 1861838971 | Lois Finney | Dietitian, Registered | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2013-05-15 |
| 1992044291 | Jeannie Elizabeth Paris | Dietitian, Registered | 480 Osborne Rd Ne, Pgihh Suite 200, Fridley, MN 55432-2773 | 2013-02-06 |
| 1174823025 | Maureen Rose Doran | Dietitian, Registered | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2010-10-26 |
| 1912030032 | Anna Elizabeth Henry | Dietitian, Registered | 6401 University Ave Ne, Suite 100, Fridley, MN 55432-4341 | 2007-03-14 |
| 1770651812 | Jeanie Lynn Becker | Dietitian, Registered | 500 Osborne Rd Ne, Suite 200, Fridley, MN 55432-2765 | 2006-11-30 |
| 1417025453 | Tasrina Dowla Dara | Dietitian, Registered | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2006-11-30 |
| 1154499275 | Rebecca Lynn Scheck | Dietitian, Registered | 500 Osborne Rd Ne, Suite 200, Fridley, MN 55432-2765 | 2006-11-30 |
| 1114984028 | Kaydee E Brown | Dietitian, Registered | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2006-04-26 |
| Find all providers in FRIDLEY | ||||
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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.