Active NPI
Pivot Nutrition LLC
- Registered Dietitian
- Bel Air, MD
National Provider Identifier
1376276196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- PIVOT NUTRITION LLC
- Practice address
- 221 Maitland St Ste 204
Bel Air, MD 21014-3930 - Phone
- (410) 914-7610
- Fax
- (443) 773-5504
- NPI assigned
- Jul 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Shannon Marie Meadows, RDN, LDN
- Title
- Registered Dietitian/Owner
- Phone
- (410) 914-7610
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
221 Maitland St Ste 204
Bel Air, MD 21014-3930
Mailing address
221 Maitland St Ste 204
Bel Air, MD 21014-3930
Phone (410) 914-7610
Other names 1
- Pivot Nutrition
National Provider Directory
National Provider DirectoryLocations
221 Maitland St
Ste 204
Bel Air, MD 21014
Phone (410) 914-7610
260 Gateway Dr
Ste 9C
Bel Air, MD 21014
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Bel Air, MD
- NPI 1033776026
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727395200000",
"number": "1376276196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 MAITLAND ST STE 204",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210143930",
"telephone_number": "410-914-7610",
"fax_number": "443-773-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 MAITLAND ST STE 204",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210143930",
"telephone_number": "410-914-7610",
"fax_number": "443-773-5504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIVOT NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-08",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A",
"authorized_official_last_name": "MEADOWS",
"authorized_official_first_name": "SHANNON",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "REGISTERED DIETITIAN/OWNER",
"authorized_official_telephone_number": "410-914-7610",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RDN, LDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pivot Nutrition",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pivot Nutrition",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.