Active NPI
Lily Yu Lin McNair, PSM, RDN
- Registered Dietitian
- San Luis, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | 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. | Current | Accepting new patients | |
| San Luis Walk-in Clinic, Inc. | Current | Accepting new patients | |
| San Luis Walk-in Clinic, Inc. | Past | Accepting new patients | |
| San Luis Walk-in Clinic, Inc. | Past | 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
- 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.
-
- Rural Health Clinic/Center
- San Luis, AZ
- NPI 1104228337
-
dba Children Integrated Care Services
- Rural Health Clinic/Center
- Somerton, AZ
- NPI 1063274868
-
dba Lake Havasu Pediatric Family Clinic
- Rural Health Clinic/Center
- Lake Havasu City, AZ
- NPI 1154051753
-
- Rural Health Clinic/Center
- Somerton, AZ
- NPI 1336677426
-
- Rural Health Clinic/Center
- Somerton, AZ
- NPI 1003991506
-
dba San Luis Outpatient Surgery Center
- Ambulatory Surgical Clinic/Center
- San Luis, AZ
- NPI 1114549987
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.