Organization Active NPI

Pivot Nutrition LLC

  • Registered Dietitian
  • Bel Air, MD
National Provider Identifier
1376276196
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Ms. Shannon Marie Meadows, RDN, LDNNPI 1033776026
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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.