Individual provider Active NPI

Meridith A Lashway, MS, RD, LD, CDE

  • Registered Dietitian
  • Jacksonville, FL
National Provider Identifier
1144397563
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND4704 Issued in FL
Practice address
4555 Emerson St Ste 200
Jacksonville, FL 32207-4958
Phone
(904) 633-0098
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2006032648 MO
Registered Dietitian 133V00000X ND4704 FL Primary

Addresses

Primary practice location

4555 Emerson St Ste 200
Jacksonville, FL 32207-4958

Mailing address

43 Willow Winds Pkwy
Saint Johns, FL 32259-7300
Phone (904) 229-7175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144397563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WILLOW WINDS PKWY",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322597300",
            "telephone_number": "904-229-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 EMERSON ST STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074958",
            "telephone_number": "904-633-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASHWAY",
        "first_name": "MERIDITH",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MS, RD, LD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2006032648",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND4704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.