Individual provider Active NPI

B Lynn Farmer, M.A., R.D.

  • Registered Dietitian
  • Glen Allen, VA
National Provider Identifier
1417024589
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
R550898 Issued in IL
Practice address
10316 Warren Rd
Glen Allen, VA 23060-3051
Phone
(804) 672-1744
NPI assigned
Nov 30, 2006
Last updated
Dec 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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 R550898 IL Primary

Addresses

Primary practice location

10316 Warren Rd
Glen Allen, VA 23060-3051

Mailing address

10316 Warren Rd
P.O. Box 1217
Glen Allen, VA 23060-3051
Phone (804) 672-1744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210304001132 VA Practitioner - Registered Dietitian Or Nutrition Professional 9032525779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2727 Enterprise Pkwy
Suite 100
Henrico, VA 23294-6341
Phone (804) 864-1998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
R550898ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Nutrition and Health LLC Dietitian, Registered CurrentSince Feb 26, 2021 Accepting new patients
Smart Nutrition Dietitian, Registered CurrentSince Feb 26, 2021 Accepting new patients

Locations

2727 Enterprise Pkwy
Ste 100
Richmond, VA 23294
Phone (804) 536-9998

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1417024589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10316 WARREN RD",
            "address_2": "P.O. BOX 1217",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603051",
            "telephone_number": "804-672-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10316 WARREN RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603051",
            "telephone_number": "804-672-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "B LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.A., R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "R550898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.