IndividualActive
Lisa Micetich, R.D.
NPI 1568682284 · Registered Dietitian · Evergreen Park, IL
Lisa Micetich, R.D. is a Registered Dietitian provider in Evergreen Park, IL (NPI 1568682284).
Provider details
- NPI number
- 1568682284
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- R.D.
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2800 W 95th St
Evergreen Park, IL 60805-2701
Phone: (708) 229-5429
Fax: (708) 229-5308
Street-level locationGet directions
Mailing address
9015 Witham Ln
Woodridge, IL 60517-7621
Registry dates
- Enumerated
- 2007-04-26
- Last updated
- 2007-07-08
Frequently asked questions
- What is Lisa Micetich's NPI number?
- Lisa Micetich's National Provider Identifier (NPI) is 1568682284, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Micetich's specialty?
- Lisa Micetich is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Lisa Micetich located?
- Lisa Micetich's practice location on file with NPPES is 2800 W 95th St, Evergreen Park, IL 60805-2701.
- What is Lisa Micetich's phone number?
- The practice phone number listed in the NPPES registry for Lisa Micetich is (708) 229-5429.
- Is Lisa Micetich's NPI active?
- Yes — Lisa Micetich's NPI (1568682284) is active in the NPPES registry as of the last update on 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.