Active NPI
Megan Anne Glass, RD
- Registered Dietitian
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86303951
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OR
Enrollment records 5
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86303951 | AZ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surely Health, Inc. | Dietitian, Registered | Current | Accepting new patients |
| Nayef T. Resk MD Inc. | Current | Accepting new patients | |
| Season Clinical Care P.a. | Dietitian, Registered | Current | Accepting new patients |
| Season Clinical Care NJ PC | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| H-E-B, LP | Past | 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.
-
- Internal Medicine Physician
- Bullhead City, AZ
- NPI 1912334988
-
- Registered Dietitian
- Irving, TX
- NPI 1649933565
CO, Dietitian, Registered, OR
-
- Community/Retail Pharmacy
- Austin, TX
- NPI 1073622411
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.