LISA LYNN RANDALL RDN, LD, CDE
NPI 1558459685
Dietitian, Registered in Spokane, WA
About Lisa Lynn Randall Rdn, Ld, Cde NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA LYNN RANDALL RDN, LD, CDE (NPI 1558459685) is an individual dietitian, registered in Spokane, Washington, licensed in Washington (DI00001131) and active in the NPI registry since October 2006. She is a graduate of Other (1983).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lisa Lynn Randall Rdn, Ld, Cde 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.
Medicare Billing Reassignment
Medicare enrollment records show Lisa Randall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Spokane, WA 99204
- Reassigned Medicare billing, Washington enrollment
- 862 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPOKANE, WA 99204
SPOKANE, WA 99204
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 Randall's NPI number?
The NPI number for Lisa Randall is 1558459685. It was assigned to this individual provider in the NPPES registry on October 11, 2006.
Where is Lisa Randall located?
Lisa Randall practices at 105 W 8th Ave Ste 7010, Spokane, WA 99204. The listed phone number is (509) 474-6525.
What is Lisa Randall's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Lisa Randall enrolled in Medicare?
Yes. Lisa Randall 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.
Which organization bills Medicare for Lisa Randall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Randall reassigns Medicare benefits to Providence Health & Services Washington (Spokane, 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 Randall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Randall accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Lisa Randall 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 Randall was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Lisa Lynn Randall, RDN, LD, CDE · NPI 1558459685
Dietitian, Registered provider in Spokane, Washington. Individual provider, active in the CMS NPPES registry since October 11, 2006.
## Identity
- **NPI:** 1558459685 (Entity type: Individual)
- **Enumerated:** October 11, 2006
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** DI00001131 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 105 W 8TH AVE STE 7010, Spokane, WA 99204-2312
- **Phone:** (509) 474-6525
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Providence Health & Services Washington (NPI 1194099390, Spokane, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1983
## Record status
- **NPPES last updated:** November 26, 2025
- **Other identifiers:** Medicaid 7122724 (WA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1558459685) · Data from the CMS NPPES public registry.