LISSETTE CORNEJO MS RD CSSD NPI 1184431652

NPI Information

  • NPI: 1184431652
  • Provider Name: LISSETTE CORNEJO, MS, RD, CSSD
  • Classification: Dietitian, Registered - 133VN1501X
  • Specialization: Nutrition, Sports Dietetics
  • Entity Type: Individual
  • Address: 8400 DELMAR BLVD APT 523
    SAINT LOUIS, MO
    ZIP 63124
  • Phone: (407) 716-3006

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NPI Details

Lissette Cornejo, MS, RD, CSSD is a nutrition and sports dietetics dietitian registered in Saint Louis, MO. The provider is an individual who is a Board Certified Specialist in Sports Dietetics and applies evidence-based nutrition knowledge in exercise and sports. RDNs specializing in sports dietetics assess, educate, and counsel athletes and active individuals. They design, implement, and manage safe and effective nutrition strategies that enhance lifelong health, fitness, and optimal performance. Lissette Cornejo, MS, RD, CSSD NPI is 1184431652. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8400 DELMAR BLVD APT 523
SAINT LOUIS, MO
ZIP 63124-344
Phone: (407) 716-3006

The enumeration date for this NPI number is 12/17/2024 and was last updated on 12/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133VN1501XDietitian, RegisteredNutrition, Sports DieteticsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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