Organization Active NPI

Guardian Wellness, LLC

  • Sports Dietetics Nutrition Registered Dietitian
  • Roseville, CA
National Provider Identifier
1881589463
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X
Legal business name
GUARDIAN WELLNESS, LLC
Practice address
1212 Constitution CT
Roseville, CA 95747-7407
Phone
(850) 748-9229
NPI assigned
Jun 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Mrs. Martha Lawder, MS RDNPI 1912456369
Title
Registered Dietitian
Phone
(850) 748-9229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Dietetics Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1501X Primary

Addresses

Primary practice location

1212 Constitution CT
Roseville, CA 95747-7407

Mailing address

116 S Grant St Ste 110-781
Roseville, CA 95678-2648
Phone (850) 748-9229

Other names 1

  • Guardian Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

116 S Grant St
Ste 110781
Roseville, CA 95678

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1881589463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S GRANT ST STE 110-781",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782648",
            "telephone_number": "850-748-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 CONSTITUTION CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957477407",
            "telephone_number": "850-748-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "LAWDER",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "850-748-9229",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS RD"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.