Individual provider Active NPI

Lily Yu Lin McNair, PSM, RDN

  • Registered Dietitian
  • San Luis, AZ
National Provider Identifier
1720767767
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
151 S Oak Ave Ste 2
San Luis, AZ 85336-0756
Phone
(928) 662-0406
NPI assigned
Jul 17, 2023
Last updated
Aug 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

151 S Oak Ave Ste 2
San Luis, AZ 85336-0756

Mailing address

PO Box 617
Somerton, AZ 85350-0617
Phone (928) 662-0406

Other practice location 1

214 W Main St
Somerton, AZ 85350-6329
Phone (928) 627-1120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230929002967 AZ Practitioner - Registered Dietitian Or Nutrition Professional 7214381862 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
San Luis Walk-in Clinic, Inc. CurrentSince Aug 19, 2023 Accepting new patients
San Luis Walk-in Clinic, Inc. Current Accepting new patients
San Luis Walk-in Clinic, Inc. Current Accepting new patients
San Luis Walk-in Clinic, Inc. CurrentSince Aug 19, 2023 Accepting new patients
San Luis Walk-in Clinic, Inc. PastSince Jul 1, 2023 Accepting new patients
San Luis Walk-in Clinic, Inc. PastSince Jul 1, 2023 Accepting new patients

Locations

1980 Mesquite Ave
Lk Havasu Cty, AZ 86403
Phone (928) 392-3691

601 W Riverside Dr
Ste 4
Parker, AZ 85344
Phone (928) 256-4110

214 W Main St
Somerton, AZ 85350
Phone (928) 627-1120

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11823/brand/2/csg/41/fhir/r4

Organizations & group practices 6

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1720767767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "853500617",
            "telephone_number": "928-662-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S OAK AVE STE 2",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853360756",
            "telephone_number": "928-662-0406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 W Main St",
            "address_purpose": "LOCATION",
            "city": "Somerton",
            "state": "AZ",
            "postal_code": "853506329",
            "country_code": "US",
            "telephone_number": "928-627-1120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNAIR",
        "first_name": "LILY",
        "middle_name": "YU LIN",
        "credential": "PSM, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.