LYNN P HILLERY/LIVE WELL WITH LYNN (NPI# 1124348610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124348610 |
| Entity Type | Organization |
| Organization Name | LYNN P HILLERY/LIVE WELL WITH LYNN |
| Practice Address |
76 Southaven Ave Ste 2 Medford NY 11763-3745 |
| Mailing Address |
25 Andrea Ln West Sayville NY 11796-1515 |
| Practice Telephone | 6313432024 |
| Practice Fax Number | 6313432024 |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2010-06-07 |
| Authorized Official Name | LYNN P HILLERY (OWNER) |
| Authorized Official Telephone | 6319211100 |
| Authorized Official Credential | RD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 006087-1 | NY | Dietary & Nutritional Service Providers |
| Street Address |
76 SOUTHAVEN AVE STE 2 |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763-3745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306841911 | South Island Medical Care PC | Family Medicine | 76 Southaven Ave, Suite 5, Medford, NY 11763-3745 | 2005-06-20 |
| 1962717512 | Christine A Arkali | Nurse Practitioner | 76 Southaven Ave, Suite 5, Medford, NY 11763-3745 | 2010-08-06 |
| 1083868004 | Maureen F Nofi | Nurse Practitioner | 76 Southaven Ave, Suite 5, Medford, NY 11763-3745 | 2008-11-05 |
| 1265610166 | Kami Quinn Medical Doctor Pllc | Family Medicine | 76 Southaven Ave, Suite 4, Medford, NY 11763-3745 | 2008-02-04 |
| 1316038060 | V & B Pharmacy Inc | Pharmacy | 76 Southaven Ave, Medford, NY 11763-3745 | 2006-09-27 |
| 1427067644 | M Hani Salam | Family Medicine | 76 Southaven Ave, Suite 5, Medford, NY 11763-3745 | 2006-08-05 |
| 1114936317 | Kami Quinn Barry | Family Medicine | 76 Southaven Ave, Suite 4, Medford, NY 11763-3745 | 2006-08-05 |
| 1861486284 | Alan Richard Stern | Podiatrist | 76 Southaven Ave, Medford, NY 11763-3745 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
| 1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
| 1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
| Find all providers in zip 11763 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739277 | Total Body Knowledge | Dietitian, Registered | 2314 Hempstead St Apt 3, Medford, OR 97501-0259 | 2020-10-29 |
| 1043855430 | Brittany Lauren Berger | Dietitian, Registered | 0 Governors Ave Ste 2, Medford, MA 02155-3037 | 2019-11-09 |
| 1720435183 | Sarah Leib | Dietitian, Registered | 1 New Kent Ct, Medford, NJ 08055-8618 | 2016-05-16 |
| 1154694768 | Christine Morrell | Dietitian, Registered | 1100 East Main Street, Medford, OR 97504 | 2012-02-13 |
| 1063793495 | Laura Ruth Winters | Dietitian, Registered | 760 Golf View Drive, Suite # 200, Renal Care Consultants PC, Medford, OR 97504 | 2011-08-30 |
| 1598092389 | Elizabeth Backer Amisson | Dietitian, Registered | 53 S Main St Ste 2f, Medford, NJ 08055-2442 | 2009-11-16 |
| 1295827103 | Lynn P Hillery | Dietitian, Registered | 76 Southaven Ave Ste 2, Medford, NY 11763-3745 | 2006-09-28 |
| 1164430518 | Susan L Spiva | Dietitian, Registered | 825 E Main St Ste C, Medford, OR 97504-7171 | 2006-08-03 |
| 1861415564 | Jennifer L Canganelli | Dietitian, Registered | 2900 E Barnett Rd Ste 2, Medford, OR 97504-8380 | 2006-07-25 |
| 1083653471 | Mary K Stansell | Dietitian, Registered | 221 Stewart Avenue, Suite #101, Medford, OR 97501-3609 | 2006-06-04 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.