Jean L Maxwell, MS RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

959775 Issued in VA

Practice address

256 Portview Ave Apt B
Norfolk, VA 23503-1520

Phone

(757) 589-4293

Fax

(833) 740-4130

NPI assigned

Jan 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Brody School of Medicine at East Carolina University, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Maxwell Nutrition

  • Registered Dietitian
  • Chesapeake, VA
  • NPI 1063138808

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Beach Life Nutrition LLC

  • Registered Dietitian
  • Virginia Beach, VA
  • NPI 1053029710

  Dietitian, Registered

  NPD (past)
• Sodexo Operations LLC

  • Registered Dietitian
  • Morrisville, PA
  • NPI 1528034436

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1609929108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 PORTVIEW AVE APT B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235031520",
            "telephone_number": "757-589-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 PORTVIEW AVE APT B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235031520",
            "telephone_number": "757-589-4293",
            "fax_number": "833-740-4130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 Godwin Blvd",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348038",
            "country_code": "US",
            "telephone_number": "757-934-4559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1112 Jensen Dr Ste 109",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234515883",
            "country_code": "US",
            "telephone_number": "757-589-4293",
            "fax_number": "833-740-4130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "JEAN",
        "middle_name": "L",
        "credential": "MS RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "959775",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen R. Chevalier-Seawell, MD, PC
• Gretchen L Maurer, OT
• Nicolle Elizabeth Maurer, LPC, LMHC
• Maxillofacial Solutions, PLLC
• Denise Maxwell, MA, LPC
• Phillip Sebastian May, DPT
• Renee Devenny May, PHD
• Samaria May
• Suzanne May
• Travis Hasan May

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.