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MRS. LORI WATSON BAUMGARDNER RD
NPI 1114223104
Dietitian, Registered in Wytheville, VA

Active since February 08, 2011
165 PEPPERS FERRY RD, WYTHEVILLE, VA 24382(276) 223-5400(276) 223-5454 Get Directions Write a Review

NPPES record last updated: August 8, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Lori Watson Baumgardner Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LORI WATSON BAUMGARDNER RD (NPI 1114223104) is an individual dietitian, registered in Wytheville, Virginia, licensed in North Carolina (L003718) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1114223104
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. LORI WATSON BAUMGARDNERCredential: RD
Location Address165 PEPPERS FERRY RDWytheville, VA 24382-2070
Mailing Address165 Peppers Ferry RdWytheville, VA 24382-2070 · (276) 223-5400 · Fax (276) 223-5454
Phone(276) 223-5400
Fax(276) 223-5454
Sole ProprietorNo
Enumeration DateFebruary 8, 2011
Last NPPES UpdateAugust 8, 2013
✔ NPI 1114223104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NC · L003718
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
165 PEPPERS FERRY RD, Wytheville, VA 24382
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Other Names 1

Former Name (1)Ms. Lori Elaine Watson Rd

Other Identifiers 1

Other2995088Medicare Ptan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lori Watson Baumgardner Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Lori Baumgardner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lake City Physical Therapy P A
1,980 mi
Physical Therapist
3009 S GRAND BLVD STE 109
Spokane, WA 99203
  • Reassigned Medicare billing, Washington enrollment
  • 10 clinicians in this Medicare group
NPI 1588810659 (509) 868-0849

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MIRACLE YVONNE CARNER LCSW
Social Worker (Clinical)
165 PEPPERS FERRY RD
WYTHEVILLE, VA 24382
Wythe County (276) 223-5400
SALEM VAMC
Clinic/Center (VA)
165 PEPPERS FERRY RD
WYTHEVILLE, VA 24382
Wythe County (828) 257-2333
MRS. DEBORAH MICHELLE KESLING LPN
Licensed Practical Nurse
165 PEPPERS FERRY RD
WYTHEVILLE, VA 24382
Wythe County (276) 223-5450
ANNA LEE TERRY PA-C
Physician Assistant
165 PEPPERS FERRY RD
WYTHEVILLE, VA 24382
Wythe County (276) 223-5412
MRS. CELESTE ANN GRIFFITH RN
Registered Nurse
165 PEPPERS FERRY RD
WYTHEVILLE, VA 24382
Wythe County (276) 223-5400
VIRGINIA KENNEDY L.C.S.W.
Social Worker (Clinical)
165 PEPPERS FERRY RD
WYTHEVILLE, VA 24382
Wythe County (276) 223-5441
NICHOLAS WEATHERTON PHARM.D.
Pharmacist
165 PEPPERS FERRY RD
WYTHEVILLE, VA 24382
Wythe County (276) 223-5400
MICHELLE L ALLEY RN
Registered Nurse
165 PEPPERS FERRY RD
WYTHEVILLE, VA 24382
Wythe County (276) 223-5400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lori Baumgardner's NPI number?

The NPI number for Lori Baumgardner is 1114223104. It was assigned to this individual provider in the NPPES registry on February 8, 2011. The provider is also known as Ms. Lori Elaine Watson Rd.

Where is Lori Baumgardner located?

Lori Baumgardner practices at 165 Peppers Ferry Rd, Wytheville, VA 24382. The listed phone number is (276) 223-5400.

What is Lori Baumgardner's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Lori Baumgardner enrolled in Medicare?

Yes. Lori Baumgardner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lori Baumgardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Baumgardner reassigns Medicare benefits to Lake City Physical Therapy P A (Spokane, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lori Baumgardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lori Baumgardner was last updated on August 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.