Lori Watson Baumgardner, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L003718 Issued in NC

Practice address

165 Peppers Ferry Rd
Wytheville, VA 24382-2070

Phone

(276) 223-5400

Fax

(276) 223-5454

NPI assigned

Feb 8, 2011

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

Other identifiers 1

Other names 1

• Ms. Lori Elaine Watson Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Lake City Physical Therapy P a

  • Physical Therapist
  • Spokane, WA
  • NPI 1588810659
  Medicare reassignment NPD
• Advanced Physical Therapy Inc

  • Physical Therapist
  • Anchorage, AK
  • NPI 1437214459
  NPD (past)

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1114223104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 PEPPERS FERRY RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822070",
            "telephone_number": "276-223-5400",
            "fax_number": "276-223-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 PEPPERS FERRY RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822070",
            "telephone_number": "276-223-5400",
            "fax_number": "276-223-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARDNER",
        "first_name": "LORI",
        "middle_name": "WATSON",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-08",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L003718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2995088",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "WATSON",
            "middle_name": "ELAINE",
            "prefix": "MS.",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sydney Kathryn Baer, OTR/L
• Gene Arnold Bailey Jr., PAC
• Jennifer Hardin Bailey, LPC
• Ashley Ball
• Brandon Jason Baumgardner, MSOTR/L
• Kyndal Ann Beavers, MD
• Janet E. Bechtel, DPM
• Jennifer Lynn Bennett Grube, MD
• Ashley Marie Bennett, PBSF
• Angela Berry, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.