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

Lisa Heider Bertram, RD

Individual provider Registered Dietitian · NPI 1013751197

Lisa Heider Bertram, RD is a Registered Dietitian OR Nutrition Professional in Cottonwood Heights, Utah. Qualified in 2022, 4 years ago. Practices with Sensibly Sprouted LLC, an 8-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2024
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

2744 E Fort Union Blvd
Cottonwood Heights, UT 84121-3447
Phone: (734) 330-1101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1013751197
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedJune 24, 2024
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026
Mailing address2744 E Fort Union Blvd, Cottonwood Heights, UT 84121-3447

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sensibly Sprouted Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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