Lively Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN006064 Issued in PA

Legal business name

LIVELY NUTRITION LLC

Practice address

903 N Randolph St
Philadelphia, PA 19123-1407

Phone

(310) 867-9700

NPI assigned

Aug 31, 2017

Last updated

Sep 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Liv Lee, MS, RDN, LDNNPI 1467985937

Title

Owner

Phone

(310) 867-9700

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Liv Lee, MS, RDN, LDN

  • Registered Dietitian
  • Philadelphia, PA
  • NPI 1467985937

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1073031894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 N RANDOLPH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 N RANDOLPH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231407",
            "telephone_number": "310-867-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVELY NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "LIV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-867-9700",
        "authorized_official_credential": "MS, RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN006064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Live Spring Heathcare Services
• Live Well Pharmacy LLC (Live Well Pharmacy)
• Live Your Best Life Home Healthcare, LLC
• Alicia Livelli
• Jon Livelsberger, D.O.
• Joseph Lively
• Sarah Lively, AU.D.
• Elizabeth S. Liveright, MD
• Simone Liverpool, M.D.
• Cecilia Livesey, M.D.

• Registered Dietitian in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.