Kab, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

KAB, LLC

Practice address

10320 Grendel CT
Mechanicsville, VA 23116-5833

Phone

(757) 585-3441

Fax

(888) 972-7994

NPI assigned

Sep 6, 2022

Organization subpart

No

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

Authorized official

Name

Meredith Martin, RDNNPI 1184344236

Title

Owner

Phone

(804) 514-7150

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meredith Martin

  • Registered Dietitian
  • Mechanicsville, VA
  • NPI 1184344236

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1376264747",
    "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",
            "fax_number": "888-972-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 GRENDEL CT",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231165833",
            "telephone_number": "757-585-3441",
            "fax_number": "888-972-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-514-7150",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.LWell.Com",
            "affiliation": "N",
            "address_1": "10320 Grendel Ct",
            "city": "Mechanicsville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231165833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Journey to Wellness, LLC
• Amy Deane Joyner, PHYSICAL THERAPIST
• JP Boyle and Kimberly B Boyle DDS, PC (Boyle Dentistry)
• Lauren Jumrukovski
• K J Lee DMD PC (Lee Family Dentistry)
• Emily Kagey
• Howard D Kahn, MD
• Rebecca Suzanne Kaiser, MD
• Swapna Gayathri Kallu, MD
• Valentina Kaminski, LPTA

• Registered Dietitian in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.