Active NPI
Megan Adele Haugen, RDN
- Registered Dietitian
- Bellingham, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI60596590
- Practice address
- 4465 Cordata Pkwy
Suite B
Bellingham, WA 98226-8037 - Phone
- (360) 752-5601
- Fax
- (360) 752-5667
- NPI assigned
- Aug 12, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86037415 | WA | |
| Registered Dietitian | 133V00000X | DI60596590 | WA | Primary |
Addresses
Primary practice location
4465 Cordata Pkwy
Suite B
Bellingham, WA 98226-8037
Mailing address
1115 SE 164TH Ave
Dept 358
Vancouver, WA 98683-9324
Phone (360) 752-5601
Other names 1
- Ms. Megan Adele Reardon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3015 Squalicum Pkwy
Bellingham, WA 98225-1906
4465 Cordata Pkwy C
Bellingham, WA 98226-8037
Phone (360) 752-5280
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86037415 | WA | MD | Registered Dietitian |
| DI60596590 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Dietitian, Registered | Past | Accepting new patients |
Locations
3015 Squalicum Pkwy
Ste 200
Bellingham, WA 98225
Phone (360) 733-2092
4465 Cordata Pkwy
Ste B
Bellingham, WA 98226
Phone (360) 752-5206
3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186
1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253
Organizations & group practices 3
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
- Bellingham, WA
- NPI 1356309553
-
- Sleep Disorder Diagnostic Clinic/Center
- Bellingham, WA
- NPI 1265692842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517875200000",
"number": "1063888170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 SE 164TH AVE",
"address_2": "DEPT 358",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839324",
"telephone_number": "360-752-5601",
"fax_number": "360-752-5667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4465 CORDATA PKWY",
"address_2": "SUITE B",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982268037",
"telephone_number": "360-752-5601",
"fax_number": "360-752-5667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUGEN",
"first_name": "MEGAN",
"middle_name": "ADELE",
"name_prefix": "Ms.",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-12",
"last_updated": "2018-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "86037415",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI60596590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "REARDON",
"middle_name": "ADELE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.