MRS. LISA MARIE EULISS RD, LDN
NPI 1396018594
Dietitian, Registered in College Park, MD

Active since February 17, 2012Accepts Medicare Assignment
4907 NIAGARA RD STE 102, COLLEGE PARK, MD 20740(301) 412-1307 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Lisa Marie Euliss Rd, Ldn NPPES

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

MRS. LISA MARIE EULISS RD, LDN (NPI 1396018594) is an individual dietitian, registered in College Park, Maryland, licensed in Maryland (DX3196) and active in the NPI registry since February 2012. She is affiliated with Berkeley Medical Center, maintains a secondary practice location in Middletown, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1396018594
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. LISA MARIE EULISSCredential: RD, LDN
Location Address4907 NIAGARA RD STE 102College Park, MD 20740-1100
Mailing Address7109 Limestone LnMiddletown, MD 21769-7534 · (301) 412-1307
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateFebruary 17, 2012
Last NPPES UpdateNovember 3, 2022
NPPES CertifiedNovember 3, 2022
NPI 1396018594 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 MD · DX3196
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.
4907 NIAGARA RD STE 102, College Park, MD 20740

Secondary Practice Location 1

Location 17109 Limestone LnMiddletown, MD 21769-7534 · Phone (240) 215-3653 · Fax (888) 388-2830

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lisa Marie Euliss Rd, Ldn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274796750
PECOS Enrollment IDI20240430002081

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20740 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $65.18 – $194.86
Typical copayment $0.00 (range $16.29 – $48.71)
Most-billed visit code NA
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

Massage Therapist
4907 NIAGARA RD STE 102
COLLEGE PARK, MD 20740
Dietitian, Registered
4907 NIAGARA RD STE 102
COLLEGE PARK, MD 20740
Massage Therapist
4907 NIAGARA RD STE 102
COLLEGE PARK, MD 20740
Massage Therapist
4907 NIAGARA RD STE 102
COLLEGE PARK, MD 20740
Massage Therapist
4907 NIAGARA RD STE 102
COLLEGE PARK, MD 20740
Massage Therapist
4907 NIAGARA RD STE 102
COLLEGE PARK, MD 20740
Massage Therapist
4907 NIAGARA RD STE 102
COLLEGE PARK, MD 20740

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 Euliss's NPI number?

The NPI number for Lisa Euliss is 1396018594. It was assigned to this individual provider in the NPPES registry on February 17, 2012.

Where is Lisa Euliss located?

Lisa Euliss practices at 4907 Niagara Rd Ste 102, College Park, MD 20740. The listed phone number is (301) 412-1307.

What is Lisa Euliss's specialty?

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

Is Lisa Euliss enrolled in Medicare?

Yes. Lisa Euliss is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Lisa Euliss affiliated with any hospitals?

According to CMS data, Lisa Euliss is affiliated with Berkeley Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa Euliss was last updated on November 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.