Individual ProviderMeredith CrillyDietitian, RegisteredDietary & Nutritional Service ProvidersPractice Address111 Michigan Ave NW, Washington, DC 20010-2916(202) 476-7811(865) 438-6460PECOS EnrollmentBased on the most recent information from CMS, provider Meredith Crilly does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1316404304Provider TypeIndividualFull NameCrilly, MeredithCredentialREGISTERED DIETITIANGenderFemaleSole ProprietorNoEnumeration Date2/26/2019Last Updated7/1/2025Contact InformationPractice LocationPractice Address111 Michigan Ave NW, Washington, DC 20010-2916Phone(202) 476-7811FaxUnlisted FaxMailing LocationMailing Address110 Monroe St Apt 301, Rockville, MD 20850-2508Phone(865) 438-6460FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode133V00000XPrimaryDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicense86040568