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Lisa M Grentz , RD

Dietitian, Registered β€’ Pullman, WA

Active NPI 1164680849 Individual Practitioner Female Practitioner
Practice location in NPPES

825 Se Bishop Blvd Ste 130
Pullman, WA 991635517

Call 5093367543 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

825 Se Bishop Blvd Ste 130

Pullman, WA 991635517

Telephone 5093367543
Organization at the Same NPPES Address or Phone
Palouse Ent, Llc Facility NPI 1346377249

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Spokane Valley, WA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Lisa Grentz has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Pullman and Washington

12 active clinicians are listed under Dietitian, Registered with a practice address in Pullman, WA (2,155 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pullman

0% of these 12 clinicians have the CMS telehealth indicator.

0% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-09
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES WA DI00001146

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
9051731 (WA)
Medicaid ID
1079596 (WA)
Other Identifier Ada Number
851519 (WA)
Other Identifier Provider Number
8267353 (WA)
Other Identifier Wa Certification Number
DI00001146 (WA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL

Medicare Enrollment ID

I20240726003543

Enrollment State Jurisdiction

WA

PECOS Control ID

9032655907

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

11703 E Sprague Ave Ste C3, Attn: Vienna Stewart

Spokane Valley, WA 992066129

Phone: 5099216560

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Lisa Arrett , ARNP

Nurse Practitioner

NPI 1508328097

Advanced Registered Nurse Practitioner

Dr. Justin Cochrane , DO

Internal Medicine - Gastroenterology

NPI 1487940714

Doctor of Osteopathic Medicine (D.O.)

NPI 1477533164

Doctor of Medicine (M.D.)

NPI 1245775444
NPI 1093843492

Doctor of Nursing Practice, Advanced Registered Nurse Practitioner

NPI 1194826925

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location July 09, 2025

Registered at 825 SE BISHOP BLVD STE 130, PULLMAN, WA 991635517 (Tel: 5093367543)

🏒
Secondary Practice Location Registered July 09, 2025

Additional practice office at 11703 E Sprague Ave Ste C3, ATTN: VIENNA STEWART, Spokane Valley, WA 992066129

βœ…
NPI Profile Active May 29, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 29, 2008

Registered at 11703 E SPRAGUE AVE STE C3, ATTN: VIENNA STEWART, SPOKANE VALLEY, WA 992066129 (Tel: 5099216560)

πŸ“
Business Mailing Address (Initial Record) May 29, 2008

Registered at 2301 W ASHLEY AVE, SPOKANE, WA 992089284 (Tel: 5099216560)

πŸ‘€
Provider Name / Credentials (Initial Record) May 29, 2008

Recorded as LISA GRENTZ, RD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2008

Dietitian, Registered (license number reported to NPPES: WA DI00001146)

🟒
Initial NPI Registration & Enumeration May 29, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164680849
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2008
Last Update: July 09, 2025
Sole Proprietor: No

Mailing Address

2301 W Ashley Ave

Spokane, WA 992089284

Phone: 5099216560

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.