Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Carpenter, RD

Individual provider Registered Dietitian · NPI 1063662161

Lisa Carpenter, RD is a Registered Dietitian OR Nutrition Professional in Jacksonville, Florida. Qualified in 1991, 35 years ago. Practices with St Vincent's Ambulatory Care Inc, a 302-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
35
Licensed in
FL
In the registry since
2008
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

4203 Belfort Rd Ste 204
Jacksonville, FL 32216-1463
Phone: (904) 450-6860
Fax: (904) 308-8699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 915 W Monroe St, Jacksonville, FL 32204-1177 — (904) 384-2240
  • 292 N Lake Cunningham Ave, Saint Johns, FL 32259-7969 — (904) 287-9574

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 5086 (FL)

Record details

NPI number1063662161
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedSeptember 25, 2008
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing address4203 Belfort Rd Ste 204, Jacksonville, FL 32216-1463

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice St Vincent'S Ambulatory Care Inc — 302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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