Individual provider Active NPI

Liny Natalia Lee, MS, RD, CSG, CSR

  • Registered Dietitian
  • Fairfax, VA
National Provider Identifier
1881319879
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1073392 Issued in CA
Practice address
10521 Rosehaven St Ste 300
Fairfax, VA 22030-2877
Phone
(415) 244-8853
NPI assigned
Oct 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1073392 CA Primary
Renal Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1005X 1073392 CA
Gerontological Nutrition Registered Dietitian 133VN1101X 1073392 CA

Addresses

Primary practice location

10521 Rosehaven St Ste 300
Fairfax, VA 22030-2877

Mailing address

3871 Bradwater St
Fairfax, VA 22031-3706
Phone (415) 244-8853

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250331000008 VA Practitioner - Registered Dietitian Or Nutrition Professional 2365965456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1073392CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
H3 Nutrition, LLC Dietitian, Registered CurrentSince Feb 11, 2025 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

10521 Rosehaven St
Ste 300
Fairfax, VA 22030
Phone (415) 244-8853

Organizations & group practices 2

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": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1881319879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3871 BRADWATER ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313706",
            "telephone_number": "415-244-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10521 ROSEHAVEN ST STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302877",
            "telephone_number": "415-244-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LINY",
        "middle_name": "NATALIA",
        "credential": "MS, RD, CSG, CSR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1073392",
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "CA",
            "license": "1073392",
            "primary": false
        },
        {
            "code": "133VN1101X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Gerontological",
            "state": "CA",
            "license": "1073392",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.