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LISA M GRENTZ RD
NPI 1164680849
Dietitian, Registered in Pullman, WA

Active since May 29, 2008
825 SE BISHOP BLVD STE 130, PULLMAN, WA 99163(509) 336-7543 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lisa M Grentz Rd NPPES

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

LISA M GRENTZ RD (NPI 1164680849) is an individual dietitian, registered in Pullman, Washington, licensed in Washington (DI00001146) and active in the NPI registry since May 2008. She maintains a secondary practice location in Spokane Valley.

NPPES Registry Identity

NPI1164680849
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameLISA M GRENTZCredential: RD
Location Address825 SE BISHOP BLVD STE 130Pullman, WA 99163-5517
Mailing Address2301 W Ashley AveSpokane, WA 99208-9284 · (509) 921-6560
Phone(509) 336-7543
Sole ProprietorNo
Enumeration DateMay 29, 2008
Last NPPES UpdateJuly 9, 2025
NPPES CertifiedJuly 9, 2025
✔ NPI 1164680849 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 WA · DI00001146
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.
825 SE BISHOP BLVD STE 130, Pullman, WA 99163
Open in Google Maps ↗

Secondary Practice Location 1

Location 111703 E Sprague Ave Ste C3, ATTN: VIENNA STEWARTSpokane Valley, WA 99206-6129 · Phone (509) 921-6560

Other Identifiers 5

Other851519WA · Ada Number
Other8267353WA · Provider Number
Medicaid9051731WA
Medicaid1079596WA
OtherDI00001146WA · Wa Certification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa M Grentz Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Lisa Grentz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Public Hospital District #1-A Of Whitman County
Same address
Family Medicine
835 SE BISHOP BLVD
Pullman, WA 99163
  • Reassigned Medicare billing, Washington enrollment
  • Also billed through NPI 1366446767 (Washington)
  • 151 clinicians in this Medicare group
NPI 1881475051 (509) 336-7300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

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

MRS. MOLLY ELIZABETH LONDON DNP, ARNP
Nurse Practitioner
825 SE BISHOP BLVD STE 130
PULLMAN, WA 99163
Whitman County (509) 332-2828
RONALD F MARTIN MD
Surgery
825 SE BISHOP BLVD STE 130
PULLMAN, WA 99163
Whitman County (509) 338-0632
KATHRYN JONES
Surgery
825 SE BISHOP BLVD STE 130
PULLMAN, WA 99163
Whitman County (509) 338-0632
NANCY BISHOP PANKO MD
Surgery
825 SE BISHOP BLVD STE 130
PULLMAN, WA 99163
Whitman County (509) 338-0632
PALOUSE ENT, LLC
Otolaryngology
825 SE BISHOP BLVD STE 130
PULLMAN, WA 99163
Whitman County (509) 334-5876
MRS. DANA KUJALA RDN
Dietitian, Registered
825 SE BISHOP BLVD STE 130
PULLMAN, WA 99163
Whitman County (509) 336-7543
JUSTINE A GAVAGAN MD
Surgery
825 SE BISHOP BLVD STE 130
PULLMAN, WA 99163
Whitman County (509) 338-0632
JUSTIN COCHRANE D.O
Internal Medicine (Gastroenterology)
825 SE BISHOP BLVD STE 130
PULLMAN, WA 99163
Whitman County (509) 338-0632

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Grentz's NPI number?

The NPI number for Lisa Grentz is 1164680849. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Where is Lisa Grentz located?

Lisa Grentz practices at 825 SE Bishop Blvd Ste 130, Pullman, WA 99163. The listed phone number is (509) 336-7543.

What is Lisa Grentz's specialty?

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

Is Lisa Grentz enrolled in Medicare?

Yes. Lisa Grentz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Grentz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Grentz reassigns Medicare benefits to Public Hospital District #1-A Of Whitman County (Pullman, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Grentz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Grentz accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Lisa Grentz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Grentz was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.