Individual provider Active NPI

Megan Anne Glass, RD

  • Registered Dietitian
  • Modesto, CA
National Provider Identifier
1043037427
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86303951 Issued in AZ
Practice address
1821 Kruger Dr
Modesto, CA 95355-3841
Phone
(973) 670-2486
NPI assigned
Sep 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86303951 AZ Primary

Addresses

Primary practice location

1821 Kruger Dr
Modesto, CA 95355-3841

Mailing address

1821 Kruger Dr
Modesto, CA 95355-3841
Phone (973) 670-2486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, CO, NJ, OR5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20241115003017 AZ Practitioner - Registered Dietitian Or Nutrition Professional 0648704437 Reassigns benefits to 2 organizations
I20251122001703 TX Practitioner - Registered Dietitian Or Nutrition Professional 0648704437 Reassigns benefits to 1 organization
I20251122001733 CO Practitioner - Registered Dietitian Or Nutrition Professional 0648704437 Reassigns benefits to 1 organization
I20251122001742 NJ Practitioner - Registered Dietitian Or Nutrition Professional 0648704437 Reassigns benefits to 1 organization
I20251126002686 OR Practitioner - Registered Dietitian Or Nutrition Professional 0648704437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1710 Keller Pkwy
Suite 6565
Keller, TX 76248-3749

1821 Kruger Dr
Modesto, CA 95355-3841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86303951AZMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Surely Health, Inc. Dietitian, Registered CurrentSince Jan 1, 2026 Accepting new patients
Nayef T. Resk MD Inc. CurrentSince Oct 1, 2024 Accepting new patients
Season Clinical Care P.a. Dietitian, Registered CurrentSince Jan 1, 2025 Accepting new patients
Season Clinical Care NJ PC Dietitian, Registered CurrentSince Jan 1, 2026 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients
H-E-B, LP PastSince Jan 1, 2026 Accepting new patients

Locations

3003 Highway 95
Ste 35
Bullhead City, AZ 86442
Phone (928) 704-0400

130 E Congress St
Ste 200139
Tucson, AZ 85701
Phone (724) 307-5926

102 S Tejon St
Ste 100
Colorado Springs, CO 80903
Phone (970) 319-2999

1719 Highway 10
Ste 300
Parsippany, NJ 07054

1719 Highway 10
Parsippany, NJ 07054

1050 SW 6th Ave
Ste 1100
Portland, OR 97204
Phone (469) 640-0057

6565 N MacArthur Blvd
Ste 225
Irving, TX 75039
Phone (972) 635-0489

1710 Keller Pkwy
Keller, TX 76248
Phone (210) 201-2364

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1043037427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 KRUGER DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553841",
            "telephone_number": "973-670-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 KRUGER DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553841",
            "telephone_number": "973-670-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "MEGAN",
        "middle_name": "ANNE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "86303951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.