MRS. MONIQUE L LISOWSKI (NPI# 1932353406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932353406 |
| Entity Type | Individual |
| Full Name | MRS. MONIQUE L LISOWSKI |
| Other Name | MONIQUE L DANTZLER |
| Credential | R.D., L.D. |
| Practice Address |
4231 South Pipkin Road Lakeland FL 33811 |
| Mailing Address |
13000 Bruce B Downs Blvd Attn: Lakeland Cboc Clinic Tampa FL 33612-4745 |
| Practice Telephone | 8633234194 |
| Mailing Telephone | 8139722000 |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2019-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | ND 4795 | FL | Dietary & Nutritional Service Providers |
| N | 133VN1201X | ND4795 | FL |
| Street Address |
4231 SOUTH PIPKIN ROAD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910200 | Darielle Shanette Berrian | Assisted Living Facility | 1548 Georgetown Dr, Lakeland, FL 33811 | 2020-07-23 |
| 1760991012 | Gregory Clark | Driver | 1091 Old South Dr, Lakeland, FL 33811 | 2017-09-28 |
| 1356870703 | Jeanette Michelle Edmonds | Psychologist | 4231 S. Pipkin Rd., Building 2 - Mental Health/behavioral Sciences, Lakeland, FL 33811 | 2017-06-08 |
| 1306987029 | Lifesavers Home Respiratory, Inc. | Durable Medical Equipment & Medical Supplies | 2525 Drane Field Rd, Suite 14, Lakeland, FL 33811 | 2007-02-08 |
| 1518010305 | Kirk Randall Smith | Nurse Practitioner | 1475 Airport Road, Lakeland, FL 33811 | 2007-01-18 |
| 1578568176 | Southeastern Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 3615 Century Blvd, Unit #1, Lakeland, FL 33811 | 2005-06-20 |
| 1225279318 | Affordable Transport Inc. | Non-emergency Medical Transport (VAN) | 3706 Dmg Dr, Lakeland, FL 33811-1043 | 2009-03-18 |
| 1457747875 | Candace Borders | Physical Therapy Assistant | 3225 Thoroughbred Loop N, Lakeland, FL 33811-1078 | 2015-04-13 |
| 1962849729 | Angelica Monteverde | Counselor | 3121 Filly Ln, Lakeland, FL 33811-1080 | 2013-06-03 |
| 1821440686 | Claudia White Borders | Counselor | 3058 Sire Trl, Lakeland, FL 33811-1090 | 2016-07-05 |
| Find all providers in zip 33811 | ||||
| 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 |
|---|---|---|---|---|
| 1194323774 | Janice Cuevas Cintron | Dietitian, Registered | 5439 Limestone Ln, Lakeland, FL 33809-0830 | 2020-10-15 |
| 1346856895 | Nena Chancy | Dietitian, Registered | 3262 Bayou Bay Dr, Lakeland, FL 33811-2842 | 2020-09-21 |
| 1871132050 | Andreina M Zetty | Dietitian, Registered | 728 Woodhill Dr, Lakeland, FL 33813-2660 | 2020-01-05 |
| 1750938346 | Carla Marie Savinon | Dietitian, Registered | 805 Nestlewood Ct, Lakeland, FL 33813-2536 | 2019-08-20 |
| 1598221384 | Anna Crum | Dietitian, Registered | 5212 Wood Cir E, Lakeland, FL 33805-9537 | 2019-02-16 |
| 1134542848 | Gledia Lovering | Dietitian, Registered | 6420 Highlands In The Woods St, Lakeland, FL 33813 | 2014-01-31 |
| 1124559489 | Nicole Anne Lucero | Dietitian, Registered | 1324 Lakeland Hills Blvd, Lakeland Regional Health Diabetes Dept., Lakeland, FL 33805 | 2017-03-27 |
| 1801250204 | Samantha Knight | Dietitian, Registered | 3215 Winter Lake Road, Lakeland, FL 33803 | 2016-04-12 |
| 1003270570 | Deborah Reyes | Dietitian, Registered | 3215 Winter Lake Road, Lakeland, FL 33803 | 2016-04-11 |
| 1083019228 | Rita D Harrison | Dietitian, Registered | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2014-10-30 |
| Find all providers in LAKELAND | ||||
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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.