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

Individual provider Registered Dietitian · NPI 1104312859

Lisa Roosien, RD is a Registered Dietitian OR Nutrition Professional in Grand Rapids, Michigan. Qualified in 2005, 21 years ago. Practices with Hope Network - Rehabilitation Services, a 24-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
21
Licensed in
MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

1500 E Beltline Ave SE
Grand Rapids, MI 49506-4361
Phone: (616) 238-4786
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 915921 (MI)
Registered Dietitian Taxonomy 133V00000X

Record details

NPI number1104312859
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedJuly 5, 2018
Last updated in NPPESAugust 30, 2021
Certification dateAugust 30, 2021

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Hope Network - Rehabilitation Services — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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