Megan Nicole Murphy
Individual provider Active NPI Registered Dietitian · Granville, NY
NPI 1104549930 · NPPES record last updated Nov 30, 2023
Key facts
- NPI
- 1104549930
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DT89074 (TX)
- Practice address
- 35 Skyview Meadows LN
Granville, NY 12832-3709 - Phone
- (518) 796-7595
- NPI assigned
- Sep 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240221002656 | CA | Practitioner - Registered Dietitian Or Nutrition Professional | 7719342096 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT89074 | TX | MD | Registered Dietitian |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Granite YMCA | Health Educator | Current |
Accepting new patients |
| The Young Men'S Christian Association of Metropolitan Denver | Health Educator | Current |
Accepting new patients |
| California Pacific Medical Group, Inc. | Past | Accepting new patients |
Locations
2625 S Colorado Blvd
Denver, CO 80222
Phone (720) 390-9459
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT89074 | TX | Yes |
Addresses
Primary practice location
35 Skyview Meadows LN
Granville, NY 12832-3709
Mailing address
35 Skyview Meadows LN
Granville, NY 12832-3709
Phone (518) 796-7595
Other providers in Granville, NY
- Caitlin McCusker
- Mettowee Valley Speech Therapy Services, PLLC
- Sadaf Shahid Mirza
- Deidra Ann Mitchell
- Brooke Lynn Morgan
- North Country Sports Medicine PLLC
- Michelle Parbus
- Jennifer Powell
- Anne E Riker
- Rite Aid of New York Inc
All providers in Granville, NY · Registered Dietitian in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.