Active NPI
Lily Anna Nichols, R.D.
- Registered Dietitian
- Torrance, CA
National Provider Identifier
1386917169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01018649
- Practice address
- 21840 Normandie Ave
Suite 1000
Torrance, CA 90502-2047 - Phone
- (310) 328-5699
- NPI assigned
- Feb 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 01018649 | Primary |
Addresses
Primary practice location
21840 Normandie Ave
Suite 1000
Torrance, CA 90502-2047
Mailing address
945 8TH St
Hermosa Beach, CA 90254-4310
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328745600000",
"number": "1386917169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 8TH ST",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902544310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21840 NORMANDIE AVE",
"address_2": "SUITE 1000",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905022047",
"telephone_number": "310-328-5699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "LILY",
"middle_name": "ANNA",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-09",
"last_updated": "2012-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "01018649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
- Kelani Nicholas
- Jana Nicholl, MS, RD, IBCLC
- Brenda Larue Nichols, MFT INTERN
- Karina Lea Nichols
- Larissa Marie Nichols, CERTIFIED OPTICIAN
- Bernard Nicolas, M.A., LMFT
- Nicole Alexander Spencer MD Inc
- Nicole Alexander Spencer MD Inc
- Nicole Bravo, a Marriage & Family Therapy Professional Corporation
- Kelly Nieh, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.