Individual provider Active NPI

Meredith Crilly, REGISTERED DIETITIAN

  • Registered Dietitian
  • Washington, DC
National Provider Identifier
1316404304
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Jul 1, 2025

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 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

Enrollment IDStateProvider typePAC IDDetails
I20250731003613 TN Practitioner - Registered Dietitian Or Nutrition Professional 5597273615 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Jul 1, 2025 Accepting new patients
Summit Medical Group, PLLC CurrentSince Jul 1, 2025 Accepting new patients
Centennial Medical Group, PA Past Accepting new patients
Summit Medical Group,PLLC PastSince Jan 26, 2025 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.

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.

Verify at the official NPI Registry.