MS. AMY ELIZABETH LYKES


Address: 1107 E Palmer St, Philadelphia, PA 19125-4220
Phone: 7328220451

MS. AMY ELIZABETH LYKES (NPI# 1518109289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518109289
Entity Type Individual
Full Name MS. AMY ELIZABETH LYKES
Credential RD, CDE
Practice Address 1107 E Palmer St
Philadelphia
PA 19125-4220
Practice Telephone 7328220451
Practice Fax Number 6095817726
Mailing Telephone 7328220451
Mailing Fax Number 6092285450
Enumeration Date 2009-03-27
Last Update Date 2019-01-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
953465 NJ Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ 155560 05

Other Providers AMY LYKES

NPI Name Taxonomy Address Enumeration
1649598160 Amy Lykes Counselor 670 Placerville Drive, Suite 2, Placerville, CA 95667 2010-05-07

Office Location

Street Address 1107 E PALMER ST
City PHILADELPHIA
State PA
Zip Code 19125-4220

Providers in the same zip code

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1891232419 Kristin Marie Iannuzzelli Counselor 1114 Earl Street, Philadelphia, PA 19125 2017-01-20
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Taxonomy Information

Taxonomy Code 133VN1006X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Metabolic

Taxonomy Definition

Definition to come...

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1083918197 Michelle M. Porter Dietitian, Registered 211 S 9th St, 6th Floor Walnut Towers, Philadelphia, PA 19107-6810 2011-01-04
1588817894 Reconstructive Orthopaedic Associates II, P.C. Dietitian, Registered 925 Chestnut St, Fifth Floor, Philadelphia, PA 19107-4216 2008-10-30
1225226285 Joan Diodato Metzner Dietitian, Registered 3400 Spruce St, 4 Penn Tower, Philadelphia, PA 19104-4206 2007-10-04

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1528423803 Annabelle Mccoy Dietitian, Registered 3824 Northern Pike Ste 350, Monroeville, PA 15146-2171 2015-12-30
1912382631 Jessica Hamilton Dietitian, Registered 155 Towne Centre Avenue, Wexford, PA 15090 2015-07-23
1497166524 Megan Klucinec Dietitian, Registered 556 Pittsburgh Mills Circle, Destination Wellness, Tarentum, PA 15084 2014-05-12
1538580717 Lisa P Rider Dietitian, Registered 725 Bradford Ter, West Chester, PA 19382-1818 2013-12-14
1467710376 Tia Nicole Wade Dietitian, Registered 8901 Route 30, North Huntingdon, PA 15642-2704 2012-04-27
1922307040 Lisa Ann Matt Dietitian, Registered 200 Tarentum Bridge Road, New Kensington, PA 15068 2011-03-16
1598063570 Lauren Green Dietitian, Registered 328 E Jefferson St, Butler, PA 16001-6009 2011-03-01
1962638429 Karen Sue Peterson Dietitian, Registered 191 Eleanor Dr, New Castle, PA 16105-5701 2009-06-10
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Competitor

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City PHILADELPHIA
Zip Code 19125

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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