Individual provider Active NPI

Liv Lee, MS, RDN, LDN

  • Registered Dietitian
  • Philadelphia, PA
National Provider Identifier
1467985937
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN006064 Issued in PA
Practice address
2000 Hamilton St Ste 301
Philadelphia, PA 19130-3874
Phone
(215) 774-1166
Fax
(215) 279-8383
NPI assigned
Apr 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN006064 PA Primary

Addresses

Primary practice location

2000 Hamilton St Ste 301
Philadelphia, PA 19130-3874

Mailing address

401 Route 73 N Ste 320
Marlton, NJ 08053-3426
Phone (215) 774-1166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211007003201 PA Practitioner - Registered Dietitian Or Nutrition Professional 6608274469 Reassigns benefits to 1 organization
I20230209000115 NJ Practitioner - Registered Dietitian Or Nutrition Professional 6608274469 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC CurrentSince Oct 1, 2021 Accepting new patients
Lively Nutrition LLC Dietitian, Registered Current Accepting new patients
Advocare , LLC CurrentSince Oct 1, 2021 Accepting new patients
Advocare, LLC Past Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

1100 Horizon Cir
Ste 101
Chalfont, PA 18914
Phone (215) 394-0400

2000 Hamilton St
Ste 109
Philadelphia, PA 19130
Phone (215) 774-1166

Interoperability endpoints

  • Direct secure messaging: liv.lee@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1467985937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N STE 320",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533426",
            "telephone_number": "215-774-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HAMILTON ST STE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303874",
            "telephone_number": "215-774-1166",
            "fax_number": "215-279-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LIV",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN006064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.