Wellformed AI

NPI 1891483459 · live from the CMS NPI Registry

Lily Beasley, MS, RDN

Dietitian, Registered in Spanish Fort, AL. National Provider Identifier 1891483459, active.

NPI record

NPI1891483459 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location513 General Gibson Dr, Spanish Fort, AL 36527
Practice phone251-367-5775
EnumeratedMay 1, 2023
Last updatedApril 16, 2026
Sole proprietorNo
Other namesLily Davis

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.