Kerri Beth Blaesser, MS, RD

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

Practice address

136 Lorna Doone Dr
Yorktown, VA 23692-3429

Phone

(530) 651-4739

NPI assigned

Jun 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2010

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

Credentials

Master of Science

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

  Nutrition, Metabolic, VA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1154814465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 LORNA DOONE DR",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236923429",
            "telephone_number": "530-651-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 LORNA DOONE DR",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236923429",
            "telephone_number": "530-651-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAESSER",
        "first_name": "KERRI",
        "middle_name": "BETH",
        "credential": "MS, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ummair Bhutta
• Biscan Corporation
• Thomas Michael Bischof Sr., M.ED
• Leelawattie Bisnauth, NURSE PRACTITIONER
• Herbert Allen Blackwell Jr., MT
• Lorente Chance Blakeney
• Ryan Boatman, PA-C
• Kathryn Bond, OTR/L
• Sheila B Bookbinder
• Wayne Ernest Booker, DDS

• All providers in Yorktown, VA
• Metabolic Nutrition Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.