Active NPI
Lesley Rae Lovely, RD
- Registered Dietitian
- Mansfield, TX
National Provider Identifier
1609182047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT04851
- Practice address
- 3100 Suffolk Dr
Mansfield, TX 76063-4060 - Phone
- (817) 453-9887
- NPI assigned
- Aug 23, 2010
- 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 | DT04851 | TX | Primary |
Addresses
Primary practice location
3100 Suffolk Dr
Mansfield, TX 76063-4060
Mailing address
3100 Suffolk Dr
Mansfield, TX 76063-4060
Phone (817) 453-9887
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282521600000",
"number": "1609182047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SUFFOLK DR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760634060",
"telephone_number": "817-453-9887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 SUFFOLK DR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760634060",
"telephone_number": "817-453-9887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVELY",
"first_name": "LESLEY",
"middle_name": "RAE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-23",
"last_updated": "2010-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT04851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.