Megan Erin Leilani Charles

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI61415553 Issued in WA

Practice address

17506 80TH Avenue CT E
Puyallup, WA 98375-2526

Phone

(541) 520-7867

NPI assigned

Mar 13, 2023

Last updated

Apr 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Locations

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

• Dandelion Nutrition LLC

  dba Dandelion Nutrition

  • Registered Dietitian
  • Lacey, WA
  • NPI 1285046292

  Dietitian, Registered

  Medicare reassignment NPD
• Nutritionally Sound, LLC

  • Sports Dietetics Nutrition Registered Dietitian
  • Puyallup, WA
  • NPI 1114612199
  NPD Authorized official
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)
• Marjorie Nolan Cohn LLC

  • Registered Dietitian
  • New York, NY
  • NPI 1760825160

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1144921735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17506 80TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983752526",
            "telephone_number": "541-520-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17506 80TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983752526",
            "telephone_number": "541-520-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "MEGAN",
        "middle_name": "ERIN LEILANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI61415553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Chang, MD
• Sinard Chao, PHARMD
• Justin Edward Chapin
• Megan Lynn Charboneau, MD
• Sophia Elizabeth Charitou, RDN
• Patricia Ann Charochak, D.O.
• Analisa Chase
• Phuong My Chau, PH.D.
• Amber Deann Chavez
• Christine Chung Chavez, PHARMD

• Registered Dietitian in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.