MS. LISA ANN FENN MS RD LD - NPI 1124154851 - Dietitian, Registered in Juneau, AK

Q: What is Lisa Fenn's NPI number?

The NPI number for Lisa Fenn is 1124154851. It was assigned to this individual provider in the NPPES registry on February 26, 2007. The provider is also known as Lisa Ann Nicklow Ms Rd Ld.

Q: What is Lisa Fenn's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Fenn was last updated on June 26, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Lisa Ann Fenn Ms Rd Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LISA ANN FENN MS RD LD (NPI 1124154851) is an individual dietitian, registered in Juneau, Alaska, licensed in Alaska (108) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1124154851

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMS. LISA ANN FENNCredential: MS RD LD

Location Address3245 HOSPITAL DR, SEARHCJuneau, AK 99801-7809

Mailing Address222 Tongass Drive, SearhcSitka, AK 99835 · (907) 966-2411 · Fax (907) 966-8300

Phone(907) 463-4040

Fax(907) 463-4673

Sole ProprietorNo

Enumeration DateFebruary 26, 2007

Last NPPES UpdateJune 26, 2009

✔ NPI 1124154851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in AK · 108

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

3245 HOSPITAL DR, Juneau, AK 99801

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Other Names 1

Former Name (1)Lisa Ann Nicklow Ms Rd Ld

Other Identifiers 3

MedicaidDT2342AK

Medicare UPINQ17468AK

Medicare ID-Type Unspecified8EA690AK

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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