Lisa Licavoli, R.D.
NPI 1063915080 · Registered Dietitian · Newport Beach, CA
Lisa Licavoli, R.D. is a Registered Dietitian provider in Newport Beach, CA (NPI 1063915080).
Provider details
- NPI number
- 1063915080
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- R.D.
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Nutritionist133N00000X
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-03-15
- Last updated
- 2018-03-15
Frequently asked questions
- What is Lisa Licavoli's NPI number?
- Lisa Licavoli's National Provider Identifier (NPI) is 1063915080, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Licavoli's specialty?
- Lisa Licavoli is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Lisa Licavoli located?
- Lisa Licavoli's practice location on file with NPPES is 2289 Redlands Dr, Newport Beach, CA 92660.
- What is Lisa Licavoli's phone number?
- The practice phone number listed in the NPPES registry for Lisa Licavoli is (949) 646-4842.
- Is Lisa Licavoli's NPI active?
- Yes — Lisa Licavoli's NPI (1063915080) is active in the NPPES registry as of the last update on 2018-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.