| Kiely Lavery, RDN, LDN | |
|
6180 N Camino Padre Isidoro, Tucson, AZ 85718-4023 | |
| (520) 360-5338 | |
| (520) 300-7033 |
| Full Name | Kiely Lavery |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 6180 N Camino Padre Isidoro, Tucson, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073237079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | ND9411 (Florida) | Primary |
| Provider Name | Agave Family Medicine & Breast Feeding Support Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265165484 PECOS PAC ID: 4183091580 Enrollment ID: O20221027000970 |
| Provider Name | Nourish The Love |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508573767 PECOS PAC ID: 6800266453 Enrollment ID: O20221223001020 |
| Mailing Address | Practice Location Address |
|---|---|
| Kiely Lavery, RDN, LDN 6180 N Camino Padre Isidoro, Tucson, AZ 85718-4023 Ph: (520) 360-5338 | Kiely Lavery, RDN, LDN 6180 N Camino Padre Isidoro, Tucson, AZ 85718-4023 Ph: (520) 360-5338 |
Sarah Duke, R.D.N. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1001 W Camino Desierto, Tucson, AZ 85704 Phone: 520-907-9587 | |
Ghaidaa Kobeissi, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 10350 E Drexel Rd Unit 110, Tucson, AZ 85747 Phone: 520-324-1727 Fax: 520-324-1700 | |
Mrs. Emily Susan Mason, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2806 N. Alvernon Way, #500, Tucson, AZ 85712 Phone: 520-730-3094 Fax: 520-428-5812 | |
Bree Ann Thompson, M.S., R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: Southern Az Va Health Care System, Tucson, AZ 85723 Phone: 520-792-1450 | |
Ms. Stephanie F. Harris, MS, RD,LDN, CSO Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3813 N Camino De Oeste, Tucson, AZ 85745 Phone: 717-799-8279 | |
Anju Patel, RD Dietitian Medicare: Medicare Enrolled Practice Location: 5651 N Paseo Niquel, Tucson, AZ 85718 Phone: 520-990-4112 | |
Ms. Dawn A Elvick, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3601 S 6th Ave, Tucson, AZ 85723 Phone: 520-792-1450 |