Nicole C Lidyard, RDLD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD-5243 Issued in OH

Practice address

11100 Euclid Ave
Mailstop: LKSD 5021
Cleveland, OH 44106-1716

Phone

(216) 844-0542

NPI assigned

Feb 3, 2006

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 OH

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.

• Nutrient Rich Life Nutrition Coaching LLC

  • Registered Dietitian
  • Medina, OH
  • NPI 1801651336

  Dietitian, Registered

  NPD
• University Hospitals Case Medical Center

  • Chronic Disease Hospital
  • Cleveland, OH
  • NPI 1245536903
  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1982676805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "address_2": "MAILSTOP: LKSD 5021",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-0542",
            "fax_number": "216-844-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "address_2": "MAILSTOP: LKSD 5021",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDYARD",
        "first_name": "NICOLE",
        "middle_name": "C",
        "credential": "RDLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD-5243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Liddell, R.N.
• Gloria Jean Liddell
• Beth Ellen Liddy, APRN
• Erica Marie Liddy, AGACNP-BC
• Karen B Lidsky, MD
• Sutek N. Lie, MD
• Brandin Lieberman, DMD
• Eva Lieberman
• James M Lieberman, MD
• Deanna M Liebert, LPC

• Registered Dietitian in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.