REAL LIFE NUTRITION, INC.
NPI 1801825534
Dietitian, Registered in Roanoke, VA

Active since July 03, 2006
5375 FALLOWATER LN, ROANOKE, VA 24018(540) 797-0593 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Real Life Nutrition, Inc. NPPES

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

REAL LIFE NUTRITION, INC. (NPI 1801825534) is a healthcare organization registered as a dietitian, registered in Roanoke, Virginia and active in the NPI registry since July 2006. The organization lists Katherine M Shaw, Owner, as its authorized official.

NPPES Registry Identity

NPI1801825534
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameREAL LIFE NUTRITION, INC.
Location Address5375 FALLOWATER LNRoanoke, VA 24018-2401
Mailing Address1802 Arlington Rd SwRoanoke, VA 24015-2808 · (540) 797-0593
Organization SubpartNo
Authorized OfficialKatherine M ShawOwner · (540) 797-0593
Enumeration DateJuly 3, 2006
Last NPPES UpdateMarch 22, 2022
NPPES CertifiedMarch 10, 2022
✔ NPI 1801825534 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 VA · 846139
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.
5375 FALLOWATER LN, Roanoke, VA 24018

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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)

Real Life Nutrition, Inc. 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 Real Life Nutrition, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Registered Dietitian or Nutrition Professional
NPI 1548237944
3501 COLONIAL GREEN CIRCLE
Roanoke, VA 24018
(540) 797-0593
✔ Accepts Medicare0.9 mi

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 Real Life Nutrition, Inc.'s NPI number?

The NPI number for Real Life Nutrition, Inc. is 1801825534. It was assigned to this organization in the NPPES registry on July 3, 2006.

Where is Real Life Nutrition, Inc. located?

Real Life Nutrition, Inc. is located at 5375 Fallowater Ln, Roanoke, VA 24018. The listed phone number is (540) 797-0593.

What is Real Life Nutrition, Inc.'s specialty?

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

Is Real Life Nutrition, Inc. enrolled in Medicare?

Yes. Real Life Nutrition, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Real Life Nutrition, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Real Life Nutrition, Inc.. 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 Real Life Nutrition, Inc. was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.