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PARKER CHARLES LANE RD
NPI 1154013696
Dietitian, Registered in Richmond, VA

Active since May 23, 2023
1200 E BROAD ST, RICHMOND, VA 23298(804) 828-0970(804) 628-0204 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 4, 2025, May 23, 2023 (2 updates tracked since 2023).

About Parker Charles Lane Rd NPPES

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

PARKER CHARLES LANE RD (NPI 1154013696) is an individual dietitian, registered in Richmond, Virginia, licensed in Virginia (86170171) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1154013696
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NamePARKER CHARLES LANECredential: RD
Location Address1200 E BROAD STRichmond, VA 23298-5025
Mailing AddressPo Box 19171Philadelphia, PA 19171-8997
Phone(804) 828-0970
Fax(804) 628-0204
Sole ProprietorNo
Enumeration DateMay 23, 2023
Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1154013696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in VA · 86170171
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.
Also ListedDietitian, Registered · Nutrition, Obesity and Weight ManagementTaxonomy 133VN1201X · License LDN6548 (MA)
1200 E BROAD ST, Richmond, VA 23298
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Parker Charles Lane Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Virginia Commonwealth University Health System Authority
0.1 mi
General Acute Care Hospital
1250 E MARSHALL ST
Richmond, VA 23298
  • Reassigned Medicare billing, Virginia enrollment
  • 7 clinicians in this Medicare group
NPI 1437175734 (804) 828-8707

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 20

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

SALVATORE CARBONE MS
Nutritionist
1200 E BROAD ST, ROOM 520
RICHMOND, VA 23298
Richmond City (804) 628-3980
SHANNON MURRAY BRENNAN AGPCNP-BC
Nurse Practitioner
1200 E BROAD ST
RICHMOND, VA 23298
Richmond City (804) 828-8199
CHRISTIAN ROSS RANDAZZO MD
Hospitalist
1200 E BROAD ST
RICHMOND, VA 23298
Richmond City (804) 828-9964
THELMA AMPRATWUM TSIFOAKA
Student in an Organized Health Care Education/Training Program
1200 E BROAD ST
RICHMOND, VA 23298
Richmond City (800) 444-8823
CHRISTIAN WILHELM SCHILLING NP
Nurse Practitioner (Acute Care)
1200 E BROAD ST, WEST HOSPITAL 16TH FLOOR WEST WING
RICHMOND, VA 23298
Richmond City (804) 827-1033
DR. ILVY HILDEGARD COTTERELL MD
Orthopaedic Surgery (Hand Surgery)
1200 E BROAD ST, DEPARTMENT OF ORTHOPAEDICS, WEST HOSPITAL, 9TH FLOOR
RICHMOND, VA 23298
Richmond City (804) 828-0951
GIANNA BLUNDO DO
Radiology (Diagnostic Radiology)
1200 E BROAD ST
RICHMOND, VA 23298
Richmond City (804) 828-3993
PHILLIP WILLIAM BALZER CRNA
Nurse Anesthetist, Certified Registered
1200 E BROAD ST
RICHMOND, VA 23298
Richmond City (804) 828-9000

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 Parker Lane's NPI number?

The NPI number for Parker Lane is 1154013696. It was assigned to this individual provider in the NPPES registry on May 23, 2023.

Where is Parker Lane located?

Parker Lane practices at 1200 E Broad St, Richmond, VA 23298. The listed phone number is (804) 828-0970.

What is Parker Lane's specialty?

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

Is Parker Lane enrolled in Medicare?

Yes. Parker Lane is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Parker Lane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Parker Lane reassigns Medicare benefits to Virginia Commonwealth University Health System Authority (Richmond, VA). 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 Parker Lane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Parker Lane accept?

Health plans from Blue Cross and Blue Shield of Montana list Parker Lane as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Parker Lane was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.