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

Lisa Stewart Mink, RD

Individual provider Registered Dietitian · NPI 1053600957

Lisa Stewart Mink, RD is a Registered Dietitian OR Nutrition Professional in Longmont, Colorado. Qualified in 1986, 40 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Colorado.

Years since qualifying
40
Licensed in
CA, CO
In the registry since
2011
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

1925 W Mountain View Ave
Longmont, CO 80501
Phone: (720) 494-3119
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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 717690 (CO)
Registered Dietitian Taxonomy 133V00000X · Licence 717690 (CA)

Record details

NPI number1053600957
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedMarch 31, 2011
Last updated in NPPESFebruary 14, 2020
Certification dateFebruary 14, 2020

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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