IndividualActive
Lilly Vanek, RD
NPI 1790188241 · Sports Dietetics Nutrition Registered Dietitian · Fort Carson, CO
Provider details
- NPI number
- 1790188241
- Entity type
- Individual
- Primary specialty
- Sports Dietetics Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- License
- DT84149 (TX)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
7484 Bad Tolez Rd
Fort Carson, CO 80913
Phone: (719) 524-0733
Street-level locationGet directions
Mailing address
9040 Fitzsimmons Dr
Joint Base Lewis Mcchord, WA 98431-1000
Additional practice locations (1)
- 9040 Fitzsimmons DrJoint Base Lewis Mcchord, WA 98431-1000Phone: (253) 968-1936
Registry dates
- Enumerated
- 2014-09-29
- Last updated
- 2024-03-07
- Certified
- 2024-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.