Individual provider Active NPI

Lorna Carolyn Hylledig, ED.D,R.D, L.D

  • Registered Dietitian
  • Port St Lucie, FL
National Provider Identifier
1740239409
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND8718 Issued in FL
Practice address
463 SW Sundance TRL
Port St Lucie, FL 34953-8219
Phone
(770) 331-4955
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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 ND8718 FL Primary

Addresses

Primary practice location

463 SW Sundance TRL
Port St Lucie, FL 34953-8219

Mailing address

463 SW Sundance TRL
Port St Lucie, FL 34953-8219
Phone (770) 331-4955

Other identifiers 4

IdentifierTypeStateIssuer
1LKANOtherFLFLORIDA BLUE
11214069OtherCAQH PROVIDER ID
1740239409OtherNPI
QC596OtherFLMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Https://www.hylledigsvirtualnutritionconsulting.com Other

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew 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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1740239409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 SW SUNDANCE TRL",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349538219",
            "telephone_number": "770-331-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 SW SUNDANCE TRL",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349538219",
            "telephone_number": "770-331-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYLLEDIG",
        "first_name": "LORNA",
        "middle_name": "CAROLYN",
        "name_prefix": "Dr.",
        "credential": "ED.D,R.D, L.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND8718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "1LKAN",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "11214069",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1740239409",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "QC596",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Https://www.hylledigsvirtualnutritionconsulting.com",
            "affiliation": "N",
            "endpointDescription": "business URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Labs, referrals",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "labs, referrals",
            "address_1": "463 SW Sundance Trl",
            "city": "Port St Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349538219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.