Active NPI
Meredith Crilly, REGISTERED DIETITIAN
- Registered Dietitian
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86040568
- Practice address
- 111 Michigan Ave NW
Washington, DC 20010-2916 - Phone
- (202) 476-7811
- NPI assigned
- Feb 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86040568 | Primary |
Addresses
Primary practice location
111 Michigan Ave NW
Washington, DC 20010-2916
Mailing address
110 Monroe St Apt 301
Rockville, MD 20850-2508
Phone (865) 438-6460
Other practice location 1
189 Lantana Rd Ste 102
Crossville, TN 38555-5127
Phone (931) 456-0881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Centennial Medical Group, PA | Past | Accepting new patients | |
| Summit Medical Group,PLLC | Past | Accepting new patients | |
| Summit Medical Group, PLLC | Past | Accepting new patients | |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Locations
1607 Westgate Cir
Ste 200
Brentwood, TN 37027
Phone (615) 376-8195
109 Del Rio Pike
Franklin, TN 37064
Phone (615) 432-3854
380 W Broadway Blvd
Jefferson City, TN 37760
Phone (865) 450-9361
933 W Race St
Kingston, TN 37763
Phone (865) 882-0105
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1659090298
-
- Internal Medicine Physician
- Knoxville, TN
- NPI 1548349186
-
- Family Medicine Physician
- Columbia, MD
- NPI 1134235039
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1699722470
-
- Family Medicine Physician
- Crossville, TN
- NPI 1629836820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1316404304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 MONROE ST APT 301",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208502508",
"telephone_number": "865-438-6460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MICHIGAN AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102916",
"telephone_number": "202-476-7811"
}
],
"practiceLocations": [
{
"address_1": "189 Lantana Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Crossville",
"state": "TN",
"postal_code": "385555127",
"country_code": "US",
"telephone_number": "931-456-0881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRILLY",
"first_name": "MEREDITH",
"credential": "REGISTERED DIETITIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-26",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86040568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.