Active NPIIndividual providerSole proprietor

Lisa M Canada, MS, RD, CSSD, CD-N

Dietitian, Registered in Easton, Connecticut

NPI Number1427935360
Practice location
142 Wilson RD, Easton, CT 06612-1621
Fax
—
Last updated
August 20, 2025

Lisa Marie Canada is a Dietitian, Registered based in Easton, CT. Lisa Marie Canada practices in Easton, CT and has the professional credentials of MS, RD, CSSD, CD-N. The NPI Number for Lisa Marie Canada is 1427935360 and holds a License No. 001034 (CT). The current practice location address for Lisa Marie Canada is 142 Wilson RD, Easton, CT 06612-1621 and can be reached out via phone at 203-395-3232.

Provider Profile Details

NPI Number
1427935360
Provider Name
Lisa Marie Canada
Credential
MS, RD, CSSD, CD-N
Provider Entity Type
Individual
Gender
Female
Address
142 Wilson RD, Easton, CT 06612-1621
Phone Number
203-395-3232
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 20, 2025
Last Update Date
August 20, 2025
Certification Date
August 20, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
142 Wilson RD
Easton, CT 06612-1621
City
Easton
Zip
06612-1621
Phone Number
203-395-3232
Easton, CT 06612Get directions →

Provider Business Mailing Address Details

Address
142 Wilson RD
Easton, CT 06612-1621
City
Easton
State
CT
Zip
06612-1621
Phone Number
203-395-3232

License Information

License Number
001034
License State
CT
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa M Canada, MS, RD, CSSD, CD-N?

The NPI number of Lisa M Canada, MS, RD, CSSD, CD-N is 1427935360. It was assigned on August 20, 2025 and is currently active in the NPPES registry.

What is the specialty of Lisa M Canada, MS, RD, CSSD, CD-N?

Lisa M Canada, MS, RD, CSSD, CD-N is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 001034.

Where does Lisa M Canada, MS, RD, CSSD, CD-N practice?

The practice location is 142 Wilson RD, Easton, CT 06612-1621. The office can be reached at 203-395-3232 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427935360 directly on the NPPES registry website.

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