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

Q: 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.

Q: What is Lori Baumgardner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lori Baumgardner was last updated on August 8, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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. She is a graduate of Other (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

Medical School CMSOtherGraduated 2011

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID9335320472

PECOS Enrollment IDI20250808003684

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)