Active NPI
Guardian Wellness, LLC
- Sports Dietetics Nutrition Registered Dietitian
- Roseville, CA
National Provider Identifier
1881589463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Dietetics Nutrition Registered Dietitian
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Martha Lawder, MS RD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Dietetics Nutrition Registered Dietitian | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Registered Dietitian
- Beale, CA
- NPI 1912456369
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.