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IVORY LIRA RDN
NPI 1114393170
Dietitian, Registered in Haymarket, VA

Active since August 13, 2015
15195 HEATHCOTE BLVD STE 330, HAYMARKET, VA 20169(571) 284-3380(571) 284-3389 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2021, Oct 26, 2020, Sep 9, 2019 (3 updates tracked since 2019).

About Ivory Lira Rdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVORY LIRA RDN (NPI 1114393170) is an individual dietitian, registered in Haymarket, Virginia, licensed in Virginia (86049472) and active in the NPI registry since August 2015. She maintains a secondary practice location in Haymarket.

NPPES Registry Identity

NPI1114393170
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameIVORY LIRACredential: RDN
Location Address15195 HEATHCOTE BLVD STE 330Haymarket, VA 20169
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(571) 284-3380
Fax(571) 284-3389
Sole ProprietorNo
Enumeration DateAugust 13, 2015
Last NPPES UpdateJuly 28, 20213 updates tracked since enumeration
NPPES CertifiedJuly 28, 2021
✔ NPI 1114393170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed in VA · 86049472✔ Licensed in AK · 101206
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
15195 HEATHCOTE BLVD STE 330, Haymarket, VA 20169
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Other Names 1

Former Name (1)Ivory Miceli

Secondary Practice Location 1

Location 115195 Heathcote Blvd Ste 330Haymarket, VA 20169 · Phone (571) 284-3380 · Fax (571) 284-3389

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Surgery
15195 HEATHCOTE BLVD STE 330
HAYMARKET, VA 20169
Prince William County (571) 284-3380
AARON NORMAN SACHS MD
Surgery
15195 HEATHCOTE BLVD STE 330
HAYMARKET, VA 20169
Prince William County (571) 284-3440
NICHOLAS DUGAN MD
Surgery
15195 HEATHCOTE BLVD STE 330
HAYMARKET, VA 20169
Prince William County (571) 284-3110
EMILY JACOBS RDN
Dietitian, Registered
15195 HEATHCOTE BLVD STE 330
HAYMARKET, VA 20169
Prince William County (571) 284-3380

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivory Lira's NPI number?

The NPI number for Ivory Lira is 1114393170. It was assigned to this individual provider in the NPPES registry on August 13, 2015. The provider is also known as Ivory Miceli.

Where is Ivory Lira located?

Ivory Lira practices at 15195 Heathcote Blvd Ste 330, Haymarket, VA 20169. The listed phone number is (571) 284-3380.

What is Ivory Lira's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Ivory Lira was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.