Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Lori Watson Baumgardner, RD

Individual provider Registered Dietitian · NPI 1114223104

Mrs. Lori Watson Baumgardner, RD is an Occupational Therapist in Private Practice in Wytheville, Virginia. Qualified in 2011, 15 years ago. Licensed in North Carolina.

Years since qualifying
15
Licensed in
NC
In the registry since
2011
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

165 Peppers Ferry Rd
Wytheville, VA 24382-2070
Phone: (276) 223-5400
Fax: (276) 223-5454
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence L003718 (NC)

Record details

NPI number1114223104
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedFebruary 8, 2011
Last updated in NPPESAugust 8, 2013
Mailing address165 Peppers Ferry Rd, Wytheville, VA 24382-2070

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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