Individual provider Active NPI

Carrie Palamarchuck

  • Registered Dietitian
  • Williamsburg, VA
National Provider Identifier
1053904433
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
1309 Jamestown Rd Ste 102
Williamsburg, VA 23185-3380
Phone
(757) 585-3441
NPI assigned
Feb 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

1309 Jamestown Rd Ste 102
Williamsburg, VA 23185-3380

Mailing address

1309 Jamestown Rd Ste 102
Williamsburg, VA 23185-3380
Phone (757) 585-3441

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.lwell.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210415002205 VA Practitioner - Registered Dietitian Or Nutrition Professional 9931517745 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1800 Camelot Dr
Suite 6E401
Virginia Beach, VA 23454-2440
Phone (757) 585-3441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Family Nutrition LLC CurrentSince Aug 30, 2023 Accepting new patients
Lwell LLC Dietitian, Registered CurrentSince Feb 1, 2021 Accepting new patients
Chesapeake Weight Loss Consultants PLLC CurrentSince Aug 30, 2024 Accepting new patients

Locations

221 Mount Pleasant Rd
Ste A1
Chesapeake, VA 23322
Phone (757) 312-9444

4001 Coliseum Dr
Hampton, VA 23666
Phone (757) 827-2115

301 Riverview Ave
Ste 512
Norfolk, VA 23510
Phone (757) 627-5116

500 W 21st St
Ste 102
Norfolk, VA 23517

3235 Academy Ave
Ste 101
Portsmouth, VA 23703
Phone (757) 484-7386

3235 Academy Ave
Ste 301
Portsmouth, VA 23703
Phone (757) 484-9400

2000 Meade Pkwy
Ste 110
Suffolk, VA 23434
Phone (757) 934-9406

2000 Meade Pkwy
Ste 196
Suffolk, VA 23434

1800 Camelot Dr
Ste 401
Virginia Beach, VA 23454
Phone (757) 496-3705

1309 Jamestown Rd
Ste 102
Williamsburg, VA 23185
Phone (757) 220-4917

3705 Strawberry Plains Rd
Ste B
Williamsburg, VA 23188

1309 Jamestown Rd
Ste 101
Williamsburg, VA 23185
Phone (757) 220-0645

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1053904433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 JAMESTOWN RD STE 102",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853380",
            "telephone_number": "757-585-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 JAMESTOWN RD STE 102",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853380",
            "telephone_number": "757-585-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAMARCHUCK",
        "first_name": "CARRIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.lwell.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1309 Jamestown Rd Ste 102",
            "city": "Williamsburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231853380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.