Lisa M Garner, MS, RD, CDN
Dietitian, Registered in Bronx, NY. Individual provider (NPI-1).
NPI number1104840941
StatusActive
Last updated in NPPESFeb 19, 2025
Details
- NPI
- 1104840941
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lisa M Garner
- Credential
- MS, RD, CDN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 26, 2006
- Certification date
- Feb 19, 2025
- Last updated
- Feb 19, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 005626-1 | NY | Yes |
Practice location
130 W Kingsbridge Rd00sci
Bronx, NY 10468-3904
Phone 718-584-9000
Mailing address
85 Tintern LnScarsdale, NY 10583-6657
Phone 347-693-2001
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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