Individual provider Active NPI

Megan Garcia-Menocal, RD/LDN, PA-C

  • Physician Assistant
  • North Palm Beach, FL
National Provider Identifier
1174089205
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9117368 Issued in FL
Practice address
11951 US Highway 1 Ste 108
North Palm Beach, FL 33408-2804
Phone
(561) 429-6109
NPI assigned
Feb 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 9076 FL
Physician Assistant 363A00000X 9117368 FL Primary

Addresses

Primary practice location

11951 US Highway 1 Ste 108
North Palm Beach, FL 33408-2804

Mailing address

11951 US Highway 1 Ste 108
North Palm Beach, FL 33408-2804
Phone (561) 429-6109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230707000890 FL Practitioner - Physician Assistant 4789043852 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9076FLMDPlastic Surgery Physician
9117368FLMDPhysician Assistant

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.

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1174089205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11951 US HIGHWAY 1 STE 108",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334082804",
            "telephone_number": "561-429-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11951 US HIGHWAY 1 STE 108",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334082804",
            "telephone_number": "561-429-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-MENOCAL",
        "first_name": "MEGAN",
        "credential": "RD/LDN, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "9076",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9117368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.