Active NPI
Lia Marie Fricke, MS RD LDN
- Registered Dietitian
- Tampa, FL
National Provider Identifier
1699577403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND14108
- Practice address
- 815 Water St Apt B1709
Tampa, FL 33602-5412 - Phone
- (816) 510-3996
- NPI assigned
- Mar 25, 2025
- 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 | ND14108 | FL | Primary |
Addresses
Primary practice location
815 Water St Apt B1709
Tampa, FL 33602-5412
Mailing address
815 Water St Apt B1709
Tampa, FL 33602-5412
Phone (816) 510-3996
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
| License | State | Type | Specialty |
|---|---|---|---|
| ND14108 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1699577403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 WATER ST APT B1709",
"city": "TAMPA",
"state": "FL",
"postal_code": "336025412",
"telephone_number": "816-510-3996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 WATER ST APT B1709",
"city": "TAMPA",
"state": "FL",
"postal_code": "336025412",
"telephone_number": "816-510-3996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRICKE",
"first_name": "LIA",
"middle_name": "MARIE",
"credential": "MS RD LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-25",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND14108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.