Individual provider Active NPI

Lily Assefa, MS, RDN, LDN

  • Registered Dietitian
  • Silver Spring, MD
National Provider Identifier
1487193314
Registry record updated Feb 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
815577 Issued in MD
Practice address
11306 College View Dr
Silver Spring, MD 20902-2529
Phone
(240) 606-4988
NPI assigned
Feb 12, 2017
Last updated
Feb 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X DX2490 MD
Registered Dietitian 133V00000X 815577 MD Primary

Addresses

Primary practice location

11306 College View Dr
Silver Spring, MD 20902-2529

Mailing address

13238 Osterport Dr
Silver Spring, MD 20906-5914
Phone (240) 606-4988

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DX2490MDMDNutrition Education Nutritionist
815577MDMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1486857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486857600000",
    "number": "1487193314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13238 OSTERPORT DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065914",
            "telephone_number": "240-606-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11306 COLLEGE VIEW DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209022529",
            "telephone_number": "240-606-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSEFA",
        "first_name": "LILY",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-12",
        "last_updated": "2017-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "MD",
            "license": "DX2490",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "815577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2017; 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.