Active NPI
Cheryl Rilea, MS, RD, LD
- Registered Dietitian
- Lady Lake, FL
National Provider Identifier
1710296413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND 612
- Practice address
- 801 Highway 466
Ste B-101
Lady Lake, FL 32159 - Phone
- (352) 459-8121
- Fax
- (352) 288-0416
- NPI assigned
- Sep 28, 2010
- Last updated
- Jun 5, 2018
- 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 | ND 612 | FL | Primary |
Addresses
Primary practice location
801 Highway 466
Ste B-101
Lady Lake, FL 32159
Mailing address
15191 SE 103Rd Ave
Summerfield, FL 34491-4602
Phone (352) 459-8121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110830000166 | FL | Practitioner - Registered Dietitian Or Nutrition Professional | 0143490185 | Practice locations: Lady Lake, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- University of Florida College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
801 Hwy 466
Suite B 101
Lady Lake, FL 32159-3925
Phone (352) 459-8121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND 612 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528156800000",
"number": "1710296413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15191 SE 103RD AVE",
"city": "SUMMERFIELD",
"state": "FL",
"postal_code": "344914602",
"telephone_number": "352-459-8121",
"fax_number": "352-288-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 HIGHWAY 466",
"address_2": "STE B-101",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "32159",
"telephone_number": "352-459-8121",
"fax_number": "352-288-0416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEA",
"first_name": "CHERYL",
"name_prefix": "Prof.",
"credential": "MS, RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-28",
"last_updated": "2018-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND 612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lady Lake, FL
- Reinventme, LLC
- Reliable Health Care LLC
- Tiffany Robin Remillard, APRN
- Renal Treatment Centers-Southeast, LP. (Ocala Regional Kidney Center South)
- Kendra Reynolds, MA, RMHCI
- Samantha Rivas Crespo, PHARMD
- Sonia Rivero Fernandez, DMD
- Dametre Shavon Roberts, LMT
- Nicole Robinson, HAS
- Ivonne M. Rodriguez-Santiago, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.