Active NPI
Alycia Lee, M.S., CDN
- Nutritionist
- New York, NY
National Provider Identifier
1164647632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 001927
- Practice address
- 128 E 83Rd St
New York, NY 10028-0812 - Phone
- (212) 535-9385
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 001927 | NY | Primary |
Addresses
Primary practice location
128 E 83Rd St
New York, NY 10028-0812
Mailing address
128 E 83Rd St
New York, NY 10028-0812
Phone (212) 535-9385
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001927 | NY | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460678400000",
"number": "1164647632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 E 83RD ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280812",
"telephone_number": "212-535-9385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 E 83RD ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280812",
"telephone_number": "212-535-9385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ALYCIA",
"credential": "M.S., CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2016-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "001927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.