Individual provider Active NPI

Caroline Fornshell, RD

  • Registered Dietitian
  • Williamsburg, VA
National Provider Identifier
1699015891
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
109 Barrows Mt
Williamsburg, VA 23185-1403
Phone
(757) 585-3441
NPI assigned
Feb 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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 Primary

Addresses

Primary practice location

109 Barrows Mt
Williamsburg, VA 23185-1403

Mailing address

4680-18I Monticello Ave
#102
Williamsburg, VA 23188
Phone (757) 585-3441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161214001899 VA Practitioner - Registered Dietitian Or Nutrition Professional 3577843283 Reassigns benefits to 1 organization
I20210630003703 NC Practitioner - Registered Dietitian Or Nutrition Professional 3577843283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lwell LLCGroup PAC ID 5294015004, 11 clinicians

Practice addresses (Care Compare)

110 Dare Rd
Yorktown, VA 23692-2882
Phone (757) 585-3441

711 N Dekalb St
Shelby, NC 28150-3911
Phone (757) 585-3441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lwell LLC Current Accepting new patients
Nourish to Honor Dietitian, Registered CurrentSince Nov 5, 2023 Accepting new patients
Lwell LLC Dietitian, Registered CurrentSince Apr 4, 2016 Accepting new patients
Williamsburg Endocrinology Inc PastSince Jan 9, 2017 Accepting new patients

Locations

711 N DeKalb St
Shelby, NC 28150
Phone (704) 482-1482

6760 Main St
Gloucester, VA 23061
Phone (804) 693-3500

9 Manhattan Sq
Ste A
Hampton, VA 23666
Phone (757) 838-6335

1 Ymca Way
Hampton, VA 23669
Phone (757) 722-9044

4001 Coliseum Dr
Hampton, VA 23666
Phone (757) 827-2115

704 Thimble Shoals Blvd
Ste 700
Newport News, VA 23606
Phone (757) 586-5256

1850 Pocahontas Trl
Quinton, VA 23141
Phone (804) 932-4388

259 James St
Smithfield, VA 23430
Phone (757) 365-4060

2000 Meade Pkwy
Ste 110
Suffolk, VA 23434
Phone (757) 934-9406

301 Sentara Cir
Williamsburg, VA 23188
Phone (757) 229-9622

1309 Jamestown Rd
Ste 102
Williamsburg, VA 23185
Phone (757) 220-4917

207 Bulifants Blvd
Ste D
Williamsburg, VA 23188
Phone (757) 565-9586

3705 Strawberry Plains Rd
Ste B
Williamsburg, VA 23188

110 Dare Rd
Yorktown, VA 23692

101 Long Green Blvd
Yorktown, VA 23693
Phone (757) 867-3300

301 Village Ave
Ste A
Yorktown, VA 23693

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1699015891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4680-18I MONTICELLO AVE",
            "address_2": "#102",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "23188",
            "telephone_number": "757-585-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BARROWS MT",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231851403",
            "telephone_number": "757-585-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNSHELL",
        "first_name": "CAROLINE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.