Active NPI
Lila S Sanders, RD, LD
- Registered Dietitian
- Mobile, AL
National Provider Identifier
1124371331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2021
- Practice address
- 2029B Airport Blvd Ste 195
Mobile, AL 36606-1366 - Phone
- (251) 478-2233
- Fax
- (251) 478-2231
- NPI assigned
- Oct 25, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2021 | AL | Primary |
| Registered Dietitian | 133V00000X | D1508 | MS |
Addresses
Primary practice location
2029B Airport Blvd Ste 195
Mobile, AL 36606-1366
Mailing address
55 Midtown Park E
Mobile, AL 36606-4141
Phone (251) 478-2233
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021 | AL | MD | Registered Dietitian |
| D1508 | MS | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 4TDD.Com, Inc | Past | Accepting new patients | |
| Bay Area Nutrition, Inc | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Mobile, AL
- NPI 1396194353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435622400000",
"number": "1124371331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 MIDTOWN PARK E",
"city": "MOBILE",
"state": "AL",
"postal_code": "366064141",
"telephone_number": "251-478-2233",
"fax_number": "251-478-2231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2029B AIRPORT BLVD STE 195",
"city": "MOBILE",
"state": "AL",
"postal_code": "366061366",
"telephone_number": "251-478-2233",
"fax_number": "251-478-2231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "LILA",
"middle_name": "S",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-25",
"last_updated": "2015-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "2021",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "D1508",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.