Lillie K Weaver, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

948899 Issued in CA

Practice address

1819 Thayer Ave
Los Angeles, CA 90025-4905

Phone

(310) 801-8458

NPI assigned

Mar 24, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Zaghi Medical Inc

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1346942133

  Dietitian, Registered

  Medicare reassignment NPD
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1730980814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 THAYER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254905",
            "telephone_number": "310-801-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 THAYER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254905",
            "telephone_number": "310-801-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "LILLIE",
        "middle_name": "K",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "948899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Rachelle Weaver
• Catherine Marie Weaver, M.D.
• Fred A. Weaver, MD
• Kylean Weaver, M.A.
• Lauren Mele Weaver, OTR/L
• Rhonda Weaver
• Bonita Weavingearth, PH.D.
• Kelley Web, ACSW
• Webacu Acupuncture Group Inc
• Afiya Fatuma Webb

• Registered Dietitian in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.