LISA JEWETT (NPI# 1982061008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982061008 |
| Entity Type | Individual |
| Full Name | LISA JEWETT |
| Credential | RN, CDE |
| Practice Address |
1501 Trousdale Dr 3rd Floor Burlingame CA 94010-4506 |
| Mailing Address |
577 Airport Blvd Ste 300 Burlingame CA 94010-2048 |
| Practice Telephone | 6506528500 |
| Practice Fax Number | 6506528556 |
| Mailing Telephone | 6502408198 |
| Mailing Fax Number | 4083285695 |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
PHN41722 | CA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATOR | 09325739 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144794991 | Lisa Leetta Jewett | Counselor | 750 Spaans Dr Ste Cd&f, Galt, CA 95632-8609 | 2019-01-15 |
| 1831513472 | Lisa Jewett | Counselor | 5638 Professional Cir, Indianapolis, IN 46241-5042 | 2014-02-18 |
| 1902818586 | Lisa R Jewett | Physical Therapist | 15900 Snow Rd, Brook Park, OH 44142-2859 | 2006-08-12 |
| Street Address |
1501 TROUSDALE DR 3RD FLOOR |
| City | BURLINGAME |
| State | CA |
| Zip Code | 94010-4506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906272 | Vino J Verghese | Internal Medicine | 1501 Trousdale Dr, 3rd Floor, Burlingame, CA 94010-4506 | 2005-07-19 |
| 1518525690 | Chia-yu Nancy Liu | Dietitian, Registered | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2019-06-03 |
| 1134683162 | Hung Ngai Hui | Pharmacist | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2019-01-23 |
| 1629549076 | Elizabeth Mary Medina | Nurse Practitioner | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2018-12-11 |
| 1518455062 | Jamie Christine Colgan | Occupational Therapist | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2018-04-30 |
| 1962901892 | Mae R Hynes | Dietitian, Registered | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2018-02-06 |
| 1104324151 | Jessica Sang Lee | Nurse Practitioner | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2018-01-24 |
| 1942715347 | Tanya Hower | Dietitian, Registered | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2017-12-06 |
| 1861918930 | Qia Zhang | Family Medicine | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2017-08-20 |
| 1417478652 | Ryan Hingorani | Family Medicine | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2017-06-28 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1568071850 | Jilla Lavian | Social Worker | 1240 Lakeview Drive, San Mateo, CA 94010 | 2020-07-23 |
| 1982246575 | Golden State Heart & Vascular Associates | Internal Medicine | 1850 El Camino Real Ste 200, Burlingame, CA 94010 | 2019-10-15 |
| 1184182248 | Primrose Healing and Wellness, Inc. | Marriage & Family Therapist | 405 Primrose Rd, #320, Burlingame, CA 94010 | 2019-03-07 |
| 1720508724 | Monazza Chaudhry | Pharmacist | 1828 El Camino Real #104, Burlingame, CA 94010 | 2017-06-21 |
| 1861804007 | Heidi Platt | Counselor | 826 Mahler Road, Burlingame, CA 94010 | 2014-05-22 |
| 1144662685 | Scarlett M Reyes | Counselor | 1818 Gilbreth Road, Suite 230, Womens Recovery Association, Burlingame, CA 94010 | 2013-07-25 |
| 1760821979 | Elliot Naidus | Internal Medicine | 1720 El Camino Real Ste 150, Burlingame, CA 94010 | 2013-06-20 |
| 1831430651 | Huddleston Care, LLC | In Home Supportive Care | 1364 Drake Avenue, Burlingame, CA 94010 | 2013-03-04 |
| 1891070843 | Linda Susan Notario | Pharmacist | 260 El Camino Raal, Burlingame, CA 94010 | 2011-10-20 |
| 1063794006 | Tram Anh Le | Pharmacist | 260 N El Camino Real, Burlingame, CA 94010 | 2011-09-15 |
| Find all providers in zip 94010 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152270 | Nicole Freche | Dietitian, Registered | 210 S Palisade Dr Ste 200, Santa Maria, CA 93454-8900 | 2020-10-22 |
| 1861053134 | Diana C Andrew | Dietitian, Registered | 765 N Main St Ste 130, Corona, CA 92880-1440 | 2019-06-26 |
| 1245712272 | Monica M Lowe and Associates, LLC | Dietitian, Registered | 530 W Ojai Ave Ste 204, Ojai, CA 93023-2472 | 2018-09-06 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1457873465 | Carol Faye Kane | Dietitian, Registered | 2936 Robinson Creek Ln, Elk Grove, CA 95758-3620 | 2017-07-11 |
| 1619406121 | Nutrition Care Consulting | Dietitian, Registered | 2605 Beverly Blvd, Montebello, CA 90640 | 2017-06-08 |
| 1700320439 | Julie Feldman | Dietitian, Registered | 2824 May Ave, Redondo Beach, CA 90278-1533 | 2016-12-14 |
| 1588011274 | Wisdom Foods Inc | Dietitian, Registered | 16987 Algonquin Street Suite L, Huntington Beach, CA 92649 | 2016-05-23 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1689029878 | Andrew Woodward | Dietitian, Registered | 8455 Lodgepole Ln, Riverside, CA 92508-7105 | 2016-04-26 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGAME |
| Zip Code | 94010 |
Please comment or provide details below to improve the information on LISA JEWETT.
| 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.