OrganizationActive
Lively Nutrition LLC
NPI 1073031894 · Registered Dietitian · Philadelphia, PA
Lively Nutrition LLC is a Registered Dietitian organization in Philadelphia, PA (NPI 1073031894).
Provider details
- NPI number
- 1073031894
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Liv Lee, Owner(310) 867-9700
- License
- DN006064 (PA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
903 N Randolph St
Philadelphia, PA 19123-1407
Phone: (310) 867-9700
Street-level locationGet directions
Mailing address
903 N Randolph St
Philadelphia, PA 19123-1407
Registry dates
- Enumerated
- 2017-08-31
- Last updated
- 2021-09-27
- Certified
- 2021-09-27
Frequently asked questions
- What is Lively Nutrition LLC's NPI number?
- Lively Nutrition LLC's National Provider Identifier (NPI) is 1073031894, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lively Nutrition LLC?
- Lively Nutrition LLC is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Lively Nutrition LLC located?
- Lively Nutrition LLC's practice location on file with NPPES is 903 N Randolph St, Philadelphia, PA 19123-1407.
- What is Lively Nutrition LLC's phone number?
- The practice phone number listed in the NPPES registry for Lively Nutrition LLC is (310) 867-9700.
- Who is the authorized official for Lively Nutrition LLC?
- The authorized official listed on Lively Nutrition LLC's NPPES record is Liv Lee, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lively Nutrition LLC's NPI active?
- Yes — Lively Nutrition LLC's NPI (1073031894) is active in the NPPES registry as of the last update on 2021-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.