Active NPI
Stephanie Nicole Lim, RDN, CDN
- Registered Dietitian
- New York, NY
National Provider Identifier
1477318707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 011857-01
- Practice address
- 825 W 187TH St Apt 7E
New York, NY 10033-1216 - Phone
- (734) 353-9033
- NPI assigned
- Feb 15, 2024
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 011857-01 | NY | Primary |
Addresses
Primary practice location
825 W 187TH St Apt 7E
New York, NY 10033-1216
Mailing address
825 W 187TH St Apt 7E
New York, NY 10033-1216
Phone (734) 353-9033
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011857-01 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Organizations & group practices 1
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": "1707955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1477318707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 W 187TH ST APT 7E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100331216",
"telephone_number": "734-353-9033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 W 187TH ST APT 7E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100331216",
"telephone_number": "734-353-9033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "STEPHANIE",
"middle_name": "NICOLE",
"credential": "RDN, CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-15",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "011857-01",
"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 Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.