DR. LISA CHARISSIMA DANIELS PH.D., R.D.N.
NPI 1396430021
Dietitian, Registered in Port Orchard, WA

Active since April 10, 2023Accepts Medicare Assignment
3903 LIESEKE LN SW, PORT ORCHARD, WA 98367(703) 895-0061 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Lisa Charissima Daniels Ph.d., R.d.n. NPPES

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

DR. LISA CHARISSIMA DANIELS PH.D., R.D.N. (NPI 1396430021) is an individual dietitian, registered in Port Orchard, Washington, licensed in Washington (DI-61400947) and active in the NPI registry since April 2023. She is a graduate of Other (1998).

NPPES Registry Identity

NPI1396430021
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameDR. LISA CHARISSIMA DANIELSCredential: PH.D., R.D.N.
Location Address3903 LIESEKE LN SWPort Orchard, WA 98367-9300
Mailing Address3903 Lieseke Ln SwPort Orchard, WA 98367-9300 · (703) 895-0061
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateApril 10, 2023
NPPES CertifiedApril 8, 2023
NPI 1396430021 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 · DI-61400947
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.

3903 LIESEKE LN SW, Port Orchard, WA 98367

Accepted Insurance

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

Dr. Lisa Charissima Daniels Ph.d., R.d.n. 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 ID3072970748
PECOS Enrollment IDI20230612001939

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98367 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 $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396430021, enumerated as an "individual" on April 10, 2023.

The provider is located at 3903 LIESEKE LN SW PORT ORCHARD, WA 98367 and the phone number is (703) 895-0061.

Dietitian, Registered with taxonomy code 133V00000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska and. Please consult your insurance carrier or call the provider to verify.