Active NPI
Megan O'Grady
- Registered Dietitian
- Chicago, IL
National Provider Identifier
1174237689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 865 W Buckingham PL Apt 308
Chicago, IL 60657-2562 - Phone
- (630) 470-0272
- NPI assigned
- Jan 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 164.008903 | IL | |
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
865 W Buckingham PL Apt 308
Chicago, IL 60657-2562
Mailing address
865 W Buckingham PL Apt 308
Chicago, IL 60657-2562
Phone (630) 470-0272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| - | Other | MAY BE MEDICARE AND NON-MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.foodsmart.com/ | Foodsmart |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.008903 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Move to Wellness Inc | Dietitian, Registered | Past | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Bradley Management LLC | Dietitian, Registered | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1174237689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 W BUCKINGHAM PL APT 308",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606572562",
"telephone_number": "630-470-0272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 W BUCKINGHAM PL APT 308",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606572562",
"telephone_number": "630-470-0272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'GRADY",
"first_name": "MEGAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-09",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.008903",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAY BE MEDICARE AND NON-MEDICARE",
"identifier": "-",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.foodsmart.com/",
"affiliation": "Y",
"affiliationName": "Foodsmart",
"address_1": "865 W Buckingham Pl Apt 308",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606572562",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.