Individual provider Active NPI

Meredith Martin

  • Registered Dietitian
  • Mechanicsville, VA
National Provider Identifier
1184344236
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
10954 Emerald Rock LN
Mechanicsville, VA 23116-5865
Phone
(757) 585-3441
NPI assigned
Aug 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

10954 Emerald Rock LN
Mechanicsville, VA 23116-5865

Mailing address

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

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.LWell.com Direct LWell LLC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221111001509 VA Practitioner - Registered Dietitian Or Nutrition Professional 6406223908 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kab, LLC Dietitian, Registered CurrentSince Sep 1, 2022 Accepting new patients
Specialty Nutrition and Health LLC Dietitian, Registered CurrentSince Apr 1, 2023 Accepting new patients
Smart Nutrition Dietitian, Registered CurrentSince Apr 1, 2023 Accepting new patients

Locations

2727 Enterprise Pkwy
Ste 100
Richmond, VA 23294
Phone (804) 536-9998

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

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

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": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1184344236",
    "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": "10954 EMERALD ROCK LN",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231165865",
            "telephone_number": "757-585-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MEREDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.LWell.com",
            "affiliation": "Y",
            "endpointDescription": "website",
            "affiliationName": "LWell LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "www.LWell.com",
            "address_1": "10954 Emerald Rock Ln",
            "city": "Mechanicsville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231165865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.