IndividualActive
Debra Carlisle, RD, LD, MS
NPI 1497974117 · Registered Dietitian · Raton, NM
Provider details
- NPI number
- 1497974117
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LD, MS
- Sex
- Female
- Sole proprietor
- Yes
- License
- LD 0657 (NM)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
200 Hospital Dr
Raton, NM 87740-2013
Phone: (505) 445-7726
Fax: (505) 445-7708
Approximate (ZIP-level) locationGet directions
Mailing address
31191 Hwy 64
Cimarron, NM 87714
Registry dates
- Enumerated
- 2007-04-24
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.