Individual provider Active NPI

Jennifer Lo, RD

  • Registered Dietitian
  • Virginia Beach, VA
National Provider Identifier
1891487674
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86289545
Practice address
4445 Corporation LN Ste 213
Virginia Beach, VA 23462-3262
Phone
(757) 559-1549
Fax
(757) 257-0792
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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 86289545 Primary

Addresses

Primary practice location

4445 Corporation LN Ste 213
Virginia Beach, VA 23462-3262

Mailing address

1329 Lakeside Rd
Virginia Beach, VA 23455-4107
Phone (240) 994-9493

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jenny@wsdiets.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231121002834 VA Practitioner - Registered Dietitian Or Nutrition Professional 2163870635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1329 Lakeside Rd
Virginia Beach, VA 23455-4107
Phone (240) 994-9493

4445 Corporation LN
Suite 213
Virginia Beach, VA 23462-3262
Phone (757) 559-1549

780 Lynnhaven Pkwy
Suite 400
Virginia Beach, VA 23452-7332
Phone (757) 559-1549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness and Sports Dietetics, LLC Dietitian, Registered CurrentSince Oct 13, 2023 Accepting new patients

Locations

4445 Corporation Ln
Ste 213
Virginia Beach, VA 23462
Phone (757) 237-2906

780 Lynnhaven Pkwy
Ste 400
Virginia Beach, VA 23452
Phone (201) 581-3411

Organizations & group practices 1

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": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1891487674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 LAKESIDE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234554107",
            "telephone_number": "240-994-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 CORPORATION LN STE 213",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623262",
            "telephone_number": "757-559-1549",
            "fax_number": "757-257-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "JENNIFER",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86289545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jenny@wsdiets.com",
            "affiliation": "N",
            "endpointDescription": "company secured email address",
            "address_1": "1329 Lakeside Rd",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234554107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.