| Real Life Nutrition, Inc. | |
|
5375 Fallowater Ln, Roanoke, VA 24018-2401 | |
| (540) 797-0593 | |
| Not Available |
| Full Name | Real Life Nutrition, Inc. |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 5375 Fallowater Ln, Roanoke, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801825534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 846139 (Virginia) | Primary |
| Provider Name | Katherine M Shaw |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548237944 PECOS PAC ID: 8921995739 Enrollment ID: I20040304000304 |
| Provider Name | Pamela Jean Moreland |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053378372 PECOS PAC ID: 1850773938 Enrollment ID: I20220805001967 |
| Mailing Address | Practice Location Address |
|---|---|
| Real Life Nutrition, Inc. 1802 Arlington Rd Sw, Roanoke, VA 24015-2808 Ph: (540) 797-0593 | Real Life Nutrition, Inc. 5375 Fallowater Ln, Roanoke, VA 24018-2401 Ph: (540) 797-0593 |
Dennise Lopez, MBA, RD, CSR. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4477 Brentwood Ct, Roanoke, VA 24018 Phone: 540-632-8325 | |
Mrs. Stephanie M Murray, MS.,RD CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: Bellview At Jefferson Street, Crmh Third Floor South, Roanoke, VA 24014 Phone: 540-983-0849 | |
Kristie Jearls, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2602 Franklin Rd Sw, Roanoke, VA 24014 Phone: 540-798-3108 | |
Abigail Turpen, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 | |
Jennifer Steding, RD Dietitian Medicare: Medicare Enrolled Practice Location: 2013 Jefferson St Sw, Roanoke, VA 24014 Phone: 540-981-7552 | |
Mrs. Pamela Jean Moreland, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 3501 Colonial Green Cir Sw, Roanoke, VA 24018 Phone: 540-344-3276 Fax: 540-342-4399 | |
Mrs. Liliane Lily Balbach, MS, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 2001 Crystal Spring Ave Sw, Roanoke, VA 24014 Phone: 540-981-7715 Fax: 540-981-7945 |