Authentic Health Nutrition LLC
NPI 1790512028ActiveOrganization· Dietitian, Registered· Champaign, IL
Dietitian, Registered in Champaign, Illinois, registered in NPPES in September 2024. The authorized official on file is Lacey Lyons, RD, Owner Of Business.
Overview
| NPI | 1790512028 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 19, 2024 |
| Last updated in NPPES | Sep 19, 2024 |
| Certified by provider | Sep 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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