MS. MARY P LILLICO (NPI# 1396865929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396865929 |
| Entity Type | Individual |
| Full Name | MS. MARY P LILLICO |
| Credential | R.D. L.D. |
| Practice Address |
5413 River Rd Amarillo TX 79108-4607 |
| Practice Telephone | 8063814322 |
| Practice Fax Number | 8063814322 |
| Mailing Telephone | 8063814322 |
| Mailing Fax Number | 8063814322 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT02437 | TX | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LINK TO 00BF18 | 8K8622 | 01 |
| Street Address |
5413 RIVER RD |
| City | AMARILLO |
| State | TX |
| Zip Code | 79108-4607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114143591 | River Road Isd | Local Education Agency (LEA) | 9500 N Us Highway 287, Amarillo, TX 79108-1620 | 2007-04-17 |
| 1508427154 | Aubree Settle | Home Health Aide | 9908 Charnetta Trl, Amarillo, TX 79108-1849 | 2019-06-25 |
| 1679130546 | Theresa Lynne Edwards | Nurse Practitioner | 12900 Aires Dr, Amarillo, TX 79108-2858 | 2019-05-24 |
| 1912407917 | Arely Campos | Licensed Vocational Nurse | 7111 Vinewood St, Amarillo, TX 79108-3310 | 2018-02-15 |
| 1750795191 | Donna Susan Mercer | Physical Therapist | 1103 Yucca Dr, Amarillo, TX 79108-3709 | 2014-06-13 |
| 1356684534 | Kathy Ann Lundegreen | Registered Nurse | 5209 Boyd St, Amarillo, TX 79108-5801 | 2013-04-05 |
| 1447249412 | Angelica D. Mendez | Family Medicine | 4701 Grande Dr, Amarillo, TX 79108-6819 | 2005-10-20 |
| 1104056530 | Bradley B Veazey | Orthopaedic Surgery | 8301 Tule Dr, Suite 129, Amarillo, TX 79108-6942 | 2009-07-20 |
| 1013393966 | Highland Park Independent School District | Local Education Agency (LEA) | 15300 E Amarillo Blvd, Amarillo, TX 79108-7572 | 2015-08-03 |
| 1932569365 | Amarillo Family Care Clinic Pllc | Nurse Practitioner | 17401 Fm 2575, Amarillo, TX 79108-8053 | 2016-02-26 |
| Find all providers in zip 79108 | ||||
| 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 |
|---|---|---|---|---|
| 1972060234 | Brenda Carole Hoot | Dietitian, Registered | 5111 Canyon Drive, Amarillo, TX 79110 | 2019-02-22 |
| 1881167096 | Molly Ann Savoy | Dietitian, Registered | 5701 Time Sq Ste 220, Amarillo, TX 79119-1178 | 2019-01-10 |
| 1134512031 | Susan D Sosebee | Dietitian, Registered | 7910 Progress Drive, Amarillo, TX 79119 | 2015-03-17 |
| 1750625000 | Steven Perry Fike | Dietitian, Registered | 3709 Rutson Dr, Amarillo, TX 79109-3933 | 2012-11-26 |
| 1427304005 | Sandra E Sweat | Dietitian, Registered | 2205 S Bonham St, Amarillo, TX 79109-2139 | 2012-08-01 |
| 1639409865 | Amanda Kay Ast | Dietitian, Registered | 7410 Golden Pond Place Suite 400, Amarillo, TX 79121 | 2010-01-11 |
| 1528394434 | Ansleigh Brooke Mills | Dietitian, Registered | 6010 W Amarillo Blvd., Amarillo Va Healthcare System, Amarillo, TX 79106 | 2009-10-28 |
| 1417979832 | Micah Lea Monk | Dietitian, Registered | Northwest Texas Healthcare System, 1501 South Coulter, Amarillo, TX 79109 | 2006-07-24 |
| 1639781883 | Chelsey Rae Nelson | Dietitian, Registered | 1301 S Coulter St Ste 413, Amarillo, TX 79106-1766 | 2020-08-19 |
| 1780243279 | Chelsea Lynn Warnock | Dietitian, Registered | 1547 Stubbs St, Amarillo, TX 79106-2307 | 2019-06-10 |
| Find all providers in AMARILLO | ||||
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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.