LISA VANATTA MS, RDN, CSP
NPI 1851856041
Dietitian, Registered - Nutrition, Pediatric in Phoenix, AZ

Active since February 01, 2019
1919 E THOMAS RD BLDG 3, PHOENIX, AZ 85016(602) 933-0970(602) 933-4253 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 16, 2019, Feb 1, 2019 (2 updates tracked since 2019).

About Lisa Vanatta Ms, Rdn, Csp NPPES

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

LISA VANATTA MS, RDN, CSP (NPI 1851856041) is an individual nutrition, pediatric provider in Phoenix, Arizona, licensed in Arizona (718221) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1851856041
Entity TypeIndividualFemale
Primary Taxonomy133VN1004X
Provider Legal NameLISA VANATTACredential: MS, RDN, CSP
Location Address1919 E THOMAS RD BLDG 3Phoenix, AZ 85016-7710
Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1813
Fax(602) 933-4253
Sole ProprietorNo
Enumeration DateFebruary 1, 2019
Last NPPES UpdateJuly 16, 20192 updates tracked since enumeration
NPI 1851856041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers
Taxonomy Code133VN1004X
License Licensed in AZ · 718221
Definition

An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.

1919 E THOMAS RD BLDG 3, Phoenix, AZ 85016

Other Identifiers 1

Medicaid327149AZ

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 Vanatta's NPI number?

The NPI number for Lisa Vanatta is 1851856041. It was assigned to this individual provider in the NPPES registry on February 1, 2019.

Where is Lisa Vanatta located?

Lisa Vanatta practices at 1919 E Thomas Rd Bldg 3, Phoenix, AZ 85016. The listed phone number is (602) 933-0970.

What is Lisa Vanatta's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

When was this NPI record last updated?

The NPPES record for Lisa Vanatta was last updated on July 16, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.