Katelyn Brockmiller, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

1309 Jamestown Rd Ste 102
Williamsburg, VA 23185-3380

Phone

(757) 585-3441

Fax

(888) 972-7994

NPI assigned

Nov 29, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lwell LLCGroup PAC ID 5294015004, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lwell LLC

  • Registered Dietitian
  • Williamsburg, VA
  • NPI 1700247780

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Nourish to Honor

  • Registered Dietitian
  • Yorktown, VA
  • NPI 1609648914

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1606608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606608000000",
    "number": "1063016285",
    "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",
            "fax_number": "888-972-7994"
        },
        {
            "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",
            "fax_number": "888-972-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMILLER",
        "first_name": "KATELYN",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-29",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "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",
            "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": []
}

• Retecka Bright
• Asheleigh M Britt
• William Broas, DDS
• Stephanie Marie Brockler Robinson, M.S., CFY-SLP
• Penny Brockman
• Marianne Brooks
• Robert Midthun Brooks, MD
• Tara Brooks, FNP
• Travis Browder, DPT
• Adam Russell Brown, CPHT

• Registered Dietitian in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; 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.