Lisa Stewart Mink, R.D.
NPI 1053600957ActiveIndividual· Dietitian, Registered· Longmont, CO
Dietitian, Registered (R.D.) with Poudre Valley Medical Group LLC, practicing in Longmont, Colorado. Medicare paid $8,509 for services to 81 patients in 2024.
Overview
| NPI | 1053600957 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | R.D. |
| Sole proprietor | Yes |
| NPI issued | Mar 31, 2011 |
| Last updated in NPPES | Sep 2, 2026 |
| Certified by provider | Sep 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 717690 | CO |
| Dietitian, Registered | 133V00000X | 717690 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 81 |
|---|---|
| Services billed | 227 across 3 procedure codes |
| Paid by Medicare | $8,509 |
Education and affiliations
| Graduation year | 1986 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Poudre Valley Medical Group LLCDenver, CO · 2,440 clinicians
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All 35 registered dietitians in Longmont · All registered dietitians in Colorado