Lori Marie Watson, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L008688 Issued in NC

Practice address

1022 Grandiflora Dr Ste 120
Leland, NC 28451-7006

Phone

(817) 368-9623

Fax

(910) 348-4717

NPI assigned

Jul 4, 2025

Last updated

Oct 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lori Marie Ellis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1751587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1861382582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 BONNIE BRAE ST NE",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284518529",
            "telephone_number": "817-368-9623",
            "fax_number": "910-348-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 GRANDIFLORA DR STE 120",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284517006",
            "telephone_number": "817-368-9623",
            "fax_number": "910-348-4717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 Bonnie Brae St NE",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "NC",
            "postal_code": "284518529",
            "country_code": "US",
            "telephone_number": "817-368-9623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1642 Military Cutoff Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284035716",
            "country_code": "US",
            "telephone_number": "817-368-9623",
            "fax_number": "910-348-4717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "LORI",
        "middle_name": "MARIE",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-04",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L008688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "ELLIS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryan Xavier Walsh, DPT
• Walter B. Futch, Jr. DDS PA
• Bradley John Walter, D.C.
• Tracey Walton
• Waterford Wellness, PA
• Joseph Bradley Webster, MD
• Haley Welch
• Laura Whaley Wellington
• Blair Hollifield Whisnant, MA, BCBA
• Whitman Behavorial and Wellness PLLC

• Registered Dietitian in Leland, NC
• Providers in Leland, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.