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LILLIE K WEAVER RDN
NPI 1730980814
Dietitian, Registered in Los Angeles, CA

Active since March 24, 2025
1819 THAYER AVE, LOS ANGELES, CA 90025(310) 801-8458 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lillie K Weaver Rdn NPPES

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

LILLIE K WEAVER RDN (NPI 1730980814) is an individual dietitian, registered in Los Angeles, California, licensed in California (948899) and active in the NPI registry since March 2025. She is a graduate of Other (1997).

NPPES Registry Identity

NPI1730980814
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameLILLIE K WEAVERCredential: RDN
Location Address1819 THAYER AVELos Angeles, CA 90025-4905
Mailing Address1819 Thayer AveLos Angeles, CA 90025-4905 · (310) 801-8458
Phone(310) 801-8458
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 23, 2025
✔ NPI 1730980814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in CA · 948899
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.
1819 THAYER AVE, Los Angeles, CA 90025
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lillie K Weaver Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123531506
PECOS Enrollment IDI20250630001149

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 Lillie Weaver's NPI number?

The NPI number for Lillie Weaver is 1730980814. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Lillie Weaver located?

Lillie Weaver practices at 1819 Thayer Ave, Los Angeles, CA 90025. The listed phone number is (310) 801-8458.

What is Lillie Weaver's specialty?

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

Is Lillie Weaver enrolled in Medicare?

Yes. Lillie Weaver is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lillie Weaver was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.