Lorie Lynn Beasley, RD
Individual provider Active NPI Registered Dietitian · Mobile, AL
NPI 1992136436 · NPPES record last updated Jun 30, 2015
Key facts
- NPI
- 1992136436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1558 (AL)
- Practice address
- 55 Midtown Park E
Mobile, AL 36606-4141 - Phone
- (251) 478-2233
- Fax
- (251) 272-9961
- NPI assigned
- Dec 10, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1558 | AL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 4TDD.Com, Inc | Past | Accepting new patients |
Interoperability endpoints
- lorie.lynn.beasley.1@16253.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1558 | AL | Yes |
Addresses
Primary practice location
55 Midtown Park E
Mobile, AL 36606-4141
Mailing address
55 Midtown Park E
Mobile, AL 36606-4141
Phone (251) 478-2233
Other providers in Mobile, AL
- Charles William Beams
- Matthew Bean
- Ryan Bear
- Paula Beard
- Karla Beasley
- Steven Mark Beasley
- Shelby Carolyn Beauchamp
- Gilles Xavier Beaumont
- Aleta C Beaver
- Bethany Beck
All providers in Mobile, AL · Registered Dietitian in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.