Individual provider Active NPI

Lily Doher, RD

  • Registered Dietitian
  • Lansing, MI
National Provider Identifier
1013465343
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86037795 Issued in MI
Practice address
2727 S Pennsylvania Ave
Food & Nutrition
Lansing, MI 48910-3488
Phone
(517) 975-7919
NPI assigned
Sep 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86037795 MI Primary

Addresses

Primary practice location

2727 S Pennsylvania Ave
Food & Nutrition
Lansing, MI 48910-3488

Mailing address

2727 S Pennsylvania Ave
Food & Nutrition
Lansing, MI 48910-3488
Phone (517) 975-7919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
86037795MIMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1013465343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 S PENNSYLVANIA AVE",
            "address_2": "FOOD & NUTRITION",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489103488",
            "telephone_number": "517-975-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 S PENNSYLVANIA AVE",
            "address_2": "FOOD & NUTRITION",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489103488",
            "telephone_number": "517-975-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHER",
        "first_name": "LILY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "86037795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.