Individual provider Active NPI

Lila Cornelio, RDN

  • Registered Dietitian
  • Plantation, FL
National Provider Identifier
1336696210
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
10664 Issued in FL
Practice address
1700 N University Dr
Plantation, FL 33322-4107
Phone
(888) 320-1776
NPI assigned
Sep 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1073156 IL
Registered Dietitian 133V00000X 10664 FL Primary

Addresses

Primary practice location

1700 N University Dr
Plantation, FL 33322-4107

Mailing address

4266 Brookside Dr
Pensacola, FL 32503-2868
Phone (850) 902-9320

Other practice location 1

2003 W Fulton St
Suite 300
Chicago, IL 60612-2345
Phone (312) 850-3438

Other practice location 2

5020 Commerce Park Cir
Pensacola, FL 32505-1869
Phone (859) 806-0900

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

LicenseStateTypeSpecialty
10664FLMDClinical Psychologist
1073156ILMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1336696210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4266 BROOKSIDE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032868",
            "telephone_number": "850-902-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N UNIVERSITY DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224107",
            "telephone_number": "888-320-1776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 W Fulton St",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606122345",
            "country_code": "US",
            "telephone_number": "312-850-3438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5020 Commerce Park Cir",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325051869",
            "country_code": "US",
            "telephone_number": "859-806-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNELIO",
        "first_name": "LILA",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "1073156",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "10664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.