Carisa Lynn Everett, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86014951 Issued in VA

Practice address

250 Wylderose CMNS Ste 200
Midlothian, VA 23113-6918

Phone

(804) 592-0095

NPI assigned

Feb 4, 2020

Last updated

Jan 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nourish2Flourishrva LLC

  dba Nourish to Flourish

  • Registered Dietitian
  • Midlothian, VA
  • NPI 1548636350

  Dietitian, Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1821629205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91734",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232911734",
            "telephone_number": "804-358-6100",
            "fax_number": "804-342-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WYLDEROSE CMNS STE 200",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136918",
            "telephone_number": "804-592-0095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2303 N Parham Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232293102",
            "country_code": "US",
            "telephone_number": "804-527-6691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "CARISA",
        "middle_name": "LYNN",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "86014951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Lauren Evans, RN, BSN, C-EFM
• Tracey Evans
• Eventus Premier Healthcare LLC
• Eventus WH Mid-Atlantic Care LLC
• Eventus WH Mid-Atlantic, LLC
• Joel C Everett, M.D.
• Every Age Every Stage LLC (Every Age Every Stage, Center for Counseling)
• Everyday Transportation LLC
• Excel Care
• Explore Nest LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.