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

Shanika K Mayo

Individual provider Registered Dietitian · NPI 1265091631

Shanika K Mayo is a Registered Dietitian OR Nutrition Professional in Williamsburg, Virginia. Qualified in 2014, 12 years ago. Practices with Lwell LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
12
Licensed in
VA
In the registry since
2019
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Practice location Address checks out

1309 Jamestown Rd Ste 102
Williamsburg, VA 23185-3380
Phone: (757) 585-3441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 994692 (VA)

Record details

NPI number1265091631
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 10, 2019
Last updated in NPPESJune 10, 2019

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Lwell Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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