MRS. LILLY MARLENE RIVERA RD
NPI 1295333797
Dietitian, Registered in Fort Campbell, KY

Q: What is Lilly Rivera's NPI number?

The NPI number for Lilly Rivera is 1295333797. It was assigned to this individual provider in the NPPES registry on October 15, 2020.

Q: What is Lilly Rivera's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lilly Rivera was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since October 15, 2020

650 JOEL DR, FORT CAMPBELL, KY 42223(707) 988-4002 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 20, 2024, Oct 15, 2020 (2 updates tracked since 2020).

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About Mrs. Lilly Marlene Rivera Rd NPPES

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

MRS. LILLY MARLENE RIVERA RD (NPI 1295333797) is an individual dietitian, registered in Fort Campbell, Kentucky, licensed in (86057016) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1295333797

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. LILLY MARLENE RIVERACredential: RD

Location Address650 JOEL DRFort Campbell, KY 42223-5318

Mailing Address3551 Roger Brooke DrFt Sm Houston, TX 78234-4504 · (210) 539-9582

Phone(707) 988-4002

Sole ProprietorNo

Enumeration DateOctober 15, 2020

Last NPPES UpdateSeptember 20, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2024

✔ NPI 1295333797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed · 86057016

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.

650 JOEL DR, Fort Campbell, KY 42223

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Other Providers at the Same Location NPPES 20

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

LISA RENEE CORDELL RN

Registered Nurse