WELLNESS AND SPORTS DIETETICS, LLC
NPI 1730960915
Dietitian, Registered in Virginia Beach, VA

Q: What is Wellness And Sports Dietetics, LLC's NPI number?

The NPI number for Wellness And Sports Dietetics, LLC is 1730960915. It was assigned to this organization in the NPPES registry on October 12, 2023.

Q: What is Wellness And Sports Dietetics, LLC's specialty?

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

Active since October 12, 2023

4445 CORPORATION LN STE 213, VIRGINIA BEACH, VA 23462(757) 559-1549(757) 257-0792 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Wellness And Sports Dietetics, Llc NPPES

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

WELLNESS AND SPORTS DIETETICS, LLC (NPI 1730960915) is a healthcare organization registered as a dietitian, registered in Virginia Beach, Virginia and active in the NPI registry since October 2023. The organization lists Jennifer Lo, Registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1730960915

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameWELLNESS AND SPORTS DIETETICS, LLC

Location Address4445 CORPORATION LN STE 213Virginia Beach, VA 23462-3262

Mailing Address1329 Lakeside RdVirginia Beach, VA 23455-4107

Phone(757) 559-1549

Fax(757) 257-0792

Organization SubpartNo

Authorized OfficialJennifer LoRegistered Dietitian · (240) 994-9493

Enumeration DateOctober 12, 2023

Last NPPES UpdateFebruary 25, 2026

NPPES CertifiedFebruary 25, 2026

✔ NPI 1730960915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

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.

4445 CORPORATION LN STE 213, Virginia Beach, VA 23462

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wellness And Sports Dietetics, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wellness And Sports Dietetics, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jennifer Lo, RD

Registered Dietitian or Nutrition Professional

NPI 1891487674

4445 CORPORATION LN STE 213
Virginia Beach, VA 23462

(757) 559-1549

✔ Accepts MedicareSame address

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

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 Wellness And Sports Dietetics, LLC's NPI number?

The NPI number for Wellness And Sports Dietetics, LLC is 1730960915. It was assigned to this organization in the NPPES registry on October 12, 2023.

Where is Wellness And Sports Dietetics, LLC located?

Wellness And Sports Dietetics, LLC is located at 4445 Corporation Ln Ste 213, Virginia Beach, VA 23462. The listed phone number is (757) 559-1549.

What is Wellness And Sports Dietetics, LLC's specialty?

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

Is Wellness And Sports Dietetics, LLC enrolled in Medicare?

Yes. Wellness And Sports Dietetics, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellness And Sports Dietetics, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Wellness And Sports Dietetics, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wellness And Sports Dietetics, LLC was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.