MRS. LIZA JO LOCKLEAR RD CD CDE
NPI 1932388212
Dietitian, Registered in Green Bay, WI

Q: What is Liza Locklear's NPI number?

The NPI number for Liza Locklear is 1932388212. It was assigned to this individual provider in the NPPES registry on November 2, 2007.

Q: What is Liza Locklear's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Liza Locklear was last updated on February 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 02, 2007

2641 DEVELOPMENT DR, GREEN BAY, WI 54311(920) 338-6868(920) 338-6869 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 10, 2021, Jan 17, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2016).

On this page

About Mrs. Liza Jo Locklear Rd Cd Cde NPPES

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

MRS. LIZA JO LOCKLEAR RD CD CDE (NPI 1932388212) is an individual dietitian, registered in Green Bay, Wisconsin, licensed in Wisconsin (1610-29) and active in the NPI registry since November 2007. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1932388212

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. LIZA JO LOCKLEARCredential: RD CD CDE

Location Address2641 DEVELOPMENT DRGreen Bay, WI 54311-4240

Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-7289

Phone(920) 338-6868

Fax(920) 338-6869

Sole ProprietorNo

Enumeration DateNovember 2, 2007

Last NPPES UpdateFebruary 10, 20214 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2021

✔ NPI 1932388212 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 WI · 1610-29

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.

2641 DEVELOPMENT DR, Green Bay, WI 54311

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Secondary Practice Locations 3

Location 12820 Roosevelt RdMarinette, WI 54143-3834 · Phone (920) 338-6868 · Fax (920) 338-6869

Location 2720 S VanBuren St. Suite 101Green Bay, WI 54301-3528 · Phone (920) 433-3420 · Fax (920) 338-6859

Location 3704 S Webster Ave Ste 300Green Bay, WI 54301-3528 · Phone (920) 468-9588 · Fax (920) 468-1342

Other Identifiers 2

Other21900466National Certification Board For Diabetes

Other886243Commission On Dietetic Registration

Other Providers at the Same Location NPPES 12

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

MARGARET O'TOOLE D.C

Chiropractor (Nutrition)