LISA M MILLER (NPI# 1992959654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992959654 |
| Entity Type | Individual |
| Full Name | LISA M MILLER |
| Other Name | LISA M DIBOS |
| Credential | C.D. |
| Practice Address |
5409 Everybodys Road Forest County Potawatomi Health & Wellness Center Crandon WI 54520 |
| Mailing Address |
Po Box 396 Crandon WI 54520 |
| Practice Telephone | 7154784362 |
| Practice Fax Number | 7154784490 |
| Mailing Telephone | 7154784300 |
| Mailing Fax Number | 7154784499 |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2008-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2091-029 | WI | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303473 | Lisa Ann Miller | Pharmacist | 7937 W Poplar Dr, Mequon, WI 53097-3279 | 2020-10-15 |
| 1972140317 | Lisa Hilda Miller | Chore Provider | 3061 Bond St, Pahrump, NV 89061-9003 | 2019-12-04 |
| 1942841093 | Lisa Anne Miller | Marriage & Family Therapist | 4618 Noble Ave, Sherman Oaks, CA 91403-2437 | 2019-09-30 |
| 1245700970 | Lisa Acri Miller | Pharmacist | 1805 Rhoda Ave, Mount Joy, PA 17552-9535 | 2018-11-26 |
| 1356816888 | Lisa Shea Miller | Counselor | 4741 Gardenia Trce, Mount Olive, AL 35117-3461 | 2018-10-11 |
| 1124535562 | Lisa M Miller | Counselor | 1211 Austin Rd, Opelousas, LA 70570 | 2018-01-08 |
| 1093221210 | Lisa Miller | Licensed Practical Nurse | 2048 Friar Tuck Cir, Adrian, MI 49221-2754 | 2017-12-26 |
| 1851833164 | Lisa Miller | Community Health Worker | 178 Hwy 93 Sunset Strip, Sunset, LA 70584 | 2016-11-17 |
| 1780070359 | Lisa C Miller | Registered Nurse | 1400 N Pecan Rd, Ponca City, OK 74604-4131 | 2015-04-10 |
| 1902155823 | Lisa Jill Miller | Registered Nurse | 4540 Ne Glisan, Portland, OR 97213 | 2012-09-06 |
| Street Address |
5409 EVERYBODYS ROAD FOREST COUNTY POTAWATOMI HEALTH & WELLNESS CENTER |
| City | CRANDON |
| State | WI |
| Zip Code | 54520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285642165 | Christopher P Skaggs | Speech-Language Pathologist | 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| 1902814882 | Kirk R Ritchie | Dentist | 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| 1861400731 | Karen A Beimborn | Family Medicine | 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| 1023026903 | Apolinar Ed A Jovellana Jr. | General Practice | 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| 1407864382 | Frederick A Mathwig | Physical Therapist | 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| 1316955297 | Gloria Jean Johnston | Social Worker | 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255574364 | Anne Morris Warren | Counselor | 5409 Everybody's Rd, Crandon, WI 54520 | 2009-04-20 |
| 1568643922 | Karen Mihalko | Hearing Instrument Specialist | 106 W Madison Street, Crandon, WI 54520 | 2007-11-14 |
| 1558379438 | David R Kaufman Jr. | Pharmacist | 5409 Everybodys Rd, Forest County Potwatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| 1114935095 | William R Pierre | Optometrist | 5409 Everbodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| 1720033186 | Frank Mraz | Family Medicine | 5409 Everybody's Road, Crandon, WI 54520 | 2006-05-24 |
| 1770978173 | Lana Winter | Counselor | 3144 Vanzile Rd, Crandon, WI 54520 | 2015-04-02 |
| 1902221989 | Anna E Lopez | Massage Therapist | 8201 Mish Ko Swen Drive, Crandon, WI 54520 | 2014-02-27 |
| 1881602761 | Betty S Thunder | Social Worker | 5409 Everybody's Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| 1578698916 | Diane M Baird | Counselor | 3163 State Hwy 55, Crandon, WI 54520-0275 | 2007-02-23 |
| 1710282678 | Diane K Walker | Dietetic Technician, Registered | 3144 Vanzile Road, Crandon, WI 54520-0275 | 2011-01-24 |
| Find all providers in zip 54520 | ||||
| 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 |
|---|---|---|---|---|
| 1376173054 | Katherine Richlen | Dietitian, Registered | 8201 Mish Ko Swen Dr, Crandon, WI 54520-8631 | 2020-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001909 | Wendy M Barth | Dietitian, Registered | N3035 Sidney Ave, Neillsville, WI 54456-7037 | 2020-10-21 |
| 1255946166 | Rachael Omdoll | Dietitian, Registered | 700 Airview Dr, Palmyra, WI 53156-9204 | 2020-09-09 |
| 1194336669 | Carly Duerst | Dietitian, Registered | W6068 Pioneer Rd, New Glarus, WI 53574-9735 | 2020-08-10 |
| 1730799636 | Bailey May Knutson | Dietitian, Registered | N44w6025 Hamilton Rd, Cedarburg, WI 53012-2454 | 2020-08-05 |
| 1538778550 | Kirsten White | Dietitian, Registered | W3021 Cara Way, Appleton, WI 54915-3991 | 2020-07-27 |
| 1780293696 | Samantha Jo Johnson | Dietitian, Registered | 2854 Greenbrier Rd, Green Bay, WI 54311-6528 | 2020-07-27 |
| 1487272977 | Sara Elizabeth Flitter | Dietitian, Registered | W437 Clement Cir, Campbellsport, WI 53010-1846 | 2020-07-10 |
| 1821616517 | Emily Anne Oschmann | Dietitian, Registered | 630 Woodland Cir, Waterford, WI 53185-2885 | 2020-07-08 |
| 1982221180 | Emilie Williamson | Dietitian, Registered | 1340 S 72nd St, West Allis, WI 53214-3122 | 2020-07-03 |
| 1811512916 | Nicole Lehtinen | Dietitian, Registered | 20200 Poplar Creek Pkwy Unit 116n, Brookfield, WI 53045-2163 | 2020-06-15 |
| Find all providers with the same taxonomy | ||||
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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.