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Active NPI 1558459685 Individual Practitioner Female Practitioner

Lisa Lynn Randall , RDN, LD, CDE

Dietitian, Registered • Spokane, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lisa Randall, RDN, LD, CDE is a certified Dietitian, Registered practicing in Spokane, WA. With approximately 43 years of clinical experience since completing medical education in 1983, Lisa Randall delivers high-quality medical care to the local community at 105 W 8TH AVE STE 7010.

Lisa Randall is affiliated with Providence Health And Services Washington and accepts Medicare assignment.

Frequently performed procedures and clinical services include diabetes outpatient self-management training services, individual, per. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

105 W 8th Ave Ste 7010

Spokane, WA 992042312

Telephone 5094746525
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Spokane, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
43 Yrs +27.8 yrs vs City Avg
City Avg: 15.2 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
151 Specialists

Practicing in Spokane, WA (2154 Statewide)

Telehealth Adoption Rate
2.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Randall (43 Years) 43 Yrs
Spokane Specialty Average (15.2 Years) 15.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes
135 52 $167.00 $53.17

Medical Specialties & State Licenses

CMS Verified: 2025-11-26
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License WA DI00001131

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7122724 (WA)

Hospital & Practice Group Affiliations

Providence Health And Services Washington

1200 E Columbia Ave, Colville, WA 991143354

Phone: 5096843701

Providence Health And Services Washington

105 W 8th Ave, Spokane, WA 992042312

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Kathryn Sander , ARNP

Nurse Practitioner

NPI 1215118732

Advanced Registered Nurse Practitioner

Melinda Nix , RD

Dietitian, Registered

NPI 1821275066

Registered Dietitian

Dr. Kevin Bauerle , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1861757346

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location November 26, 2025

Registered at 105 W 8TH AVE STE 7010, SPOKANE, WA 992042312 (Tel: 5094746525)

📍
Updated Business Mailing Address November 26, 2025

Registered at PO BOX 31001-4114, PASADENA, CA 911100001 (Tel: 8667472455)

NPI Profile Active July 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2016

Registered at 501 N RIVERPOINT BLVD, SUITE 245, SPOKANE, WA 992021659 (Tel: 5092092150)

📍
Updated Business Mailing Address July 08, 2016

Registered at 501 N RIVERPOINT BLVD, SUITE 245, SPOKANE, WA 992021659 (Tel: 5092092150)

👤
Provider Name / Credentials Updated July 08, 2016

Recorded as LISA RANDALL, RDN, LD, CDE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2016

Dietitian, Registered (License #DI00001131 in WA)

🟢
Initial NPI Registration & Enumeration October 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558459685
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: November 26, 2025
Sole Proprietor: No

Mailing Address

Po Box 31001-4114

Pasadena, CA 911100001

Phone: 8667472455

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.