Individual provider Active NPI

Lauryn Faith Mericle, MS, RD, LDN

  • Sports Dietetics Nutrition Registered Dietitian
  • Fulton, MD
National Provider Identifier
1689533481
Registry record updated Jan 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X
License
DX7387 Issued in MD
Practice address
8119 Brookwood Farm Rd
Fulton, MD 20759-9658
Phone
(757) 550-1403
NPI assigned
Jan 17, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Dietetics Nutrition Registered Dietitian 133VN1501X DX7387 MD Primary

Addresses

Primary practice location

8119 Brookwood Farm Rd
Fulton, MD 20759-9658

Mailing address

803 Holland CT
Newport News, VA 23608-7755
Phone (757) 550-1403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DX7387MDMDSports Dietetics Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1768608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768608000000",
    "number": "1689533481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 HOLLAND CT",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236087755",
            "telephone_number": "757-550-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8119 BROOKWOOD FARM RD",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207599658",
            "telephone_number": "757-550-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERICLE",
        "first_name": "LAURYN",
        "middle_name": "FAITH",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-17",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "MD",
            "license": "DX7387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; 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.