Active NPI
Meghan Sarah Kenny, RD
- Registered Dietitian
- Salem, MA
National Provider Identifier
1043966740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5607
- Practice address
- 19 Mall St
Salem, MA 01970-3815 - Phone
- (978) 766-3777
- NPI assigned
- Feb 22, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 5607 | MA | Primary |
Addresses
Primary practice location
19 Mall St
Salem, MA 01970-3815
Mailing address
19 Mall St
Salem, MA 01970-3815
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Home | Health Information Exchange (HIE) | |
| Other URL | Home | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251105003056 | MA | Practitioner - Registered Dietitian Or Nutrition Professional | 2567952872 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nutrition Factory LLC
Practice addresses (Care Compare)
565 Turnpike St
Suite 64
North Andover, MA 01845-5936
Phone 97847444780
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5607 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition Factory, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
565 Turnpike St
Ste 64
North Andover, MA 01845
Phone (978) 474-4478
Organizations & group practices 1
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.
-
- Registered Dietitian
- North Andover, MA
- NPI 1366718355
Dietitian, Registered, MA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1043966740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 MALL ST",
"city": "SALEM",
"state": "MA",
"postal_code": "019703815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 MALL ST",
"city": "SALEM",
"state": "MA",
"postal_code": "019703815",
"telephone_number": "978-766-3777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNY",
"first_name": "MEGHAN",
"middle_name": "SARAH",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-22",
"last_updated": "2022-07-14",
"certification_date": "2022-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "5607",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Home",
"affiliation": "N",
"endpointDescription": "Home",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "19 Mall St",
"city": "Salem",
"state": "MA",
"country_code": "US",
"postal_code": "019703815",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Home",
"affiliation": "N",
"endpointDescription": "Home",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "19 Mall St",
"city": "Salem",
"state": "MA",
"country_code": "US",
"postal_code": "019703815",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.