Organization Active NPI

Lively Nourish LLC

  • Registered Dietitian
  • New Rochelle, NY
National Provider Identifier
1811750300
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
LIVELY NOURISH LLC
Practice address
585 North Ave Apt 309
New Rochelle, NY 10801-2652
Phone
(646) 427-2648
NPI assigned
Feb 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Darleney Reed, RDNNPI 1134982622
Title
Dietitian
Phone
(646) 427-2648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

585 North Ave Apt 309
New Rochelle, NY 10801-2652

Mailing address

585 North Ave Apt 309
New Rochelle, NY 10801-2652
Phone (646) 427-2648

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1811750300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 NORTH AVE APT 309",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108012652",
            "telephone_number": "646-427-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 NORTH AVE APT 309",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108012652",
            "telephone_number": "646-427-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVELY NOURISH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "DARLENEY",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "646-427-2648",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.