Carly Lucchesi, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1027686 Issued in CA

Practice address

18040 Rob Ric Rd
Sonora, CA 95370-8211

Phone

(530) 306-5312

Fax

(844) 413-7182

NPI assigned

Nov 30, 2016

Last updated

Oct 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Your Living Health

  • Clinic/Center
  • Sonora, CA
  • NPI 1366103178
  NPD Authorized official

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1073056602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18040 ROB RIC RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953708211",
            "telephone_number": "530-306-5312",
            "fax_number": "844-413-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18040 ROB RIC RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953708211",
            "telephone_number": "530-306-5312",
            "fax_number": "844-413-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCCHESI",
        "first_name": "CARLY",
        "name_prefix": "Mrs.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1027686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett C. Lockman, DO
• Nichole Terese Longeway, FNP
• Longs Drug Stores California LLC (CVS Pharmacy #09208)
• Louis Arlen Looper, M.A.
• Danett L Lozano, LVN
• Cynthia Ann Luce, RDH
• Tamara Frances Lund, DC, DACNB
• James Michael Lundeen, PT
• Vincent Luong, RPH
• Robert Lyons, M.D.

• Registered Dietitian in Sonora, CA
• Providers in Sonora, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.