Meghan Elizabeth Bourne, RD, LDN, CDOE, CDCES

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LDN00684 Issued in RI

Practice address

450 Veterans Memorial Pkwy Ste 8C
East Providence, RI 02914-5300

Phone

(401) 396-9331

Fax

(401) 396-9369

NPI assigned

Jan 28, 2011

Last updated

Nov 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Meghan Elizabeth Martorana Former name

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Evolution Nutrition IncGroup PAC ID 2163668518, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Evolution Nutrition Inc.

  • Registered Dietitian
  • East Providence, RI
  • NPI 1336265800
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1174829873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 VETERANS MEMORIAL PKWY STE 8C",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145300",
            "telephone_number": "401-396-9331",
            "fax_number": "401-396-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 VETERANS MEMORIAL PKWY STE 8C",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145300",
            "telephone_number": "401-396-9331",
            "fax_number": "401-396-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURNE",
        "first_name": "MEGHAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "RD, LDN, CDOE, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "000003089",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN00684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "MARTORANA",
            "middle_name": "ELIZABETH",
            "credential": "RD, LDN, CDOE, CDCES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Boston Behavior Learning Centers LLC (BBLC)
• Christopher Michael Botelho
• Danielle L Botelho, DC
• Kenneth Cushing Botelho, PA-C
• Louise J Bouchard, SERVICE COORDINATOR
• Kaitlin Christina Boyer, RD
• Julie Elizabeth Braciszewski, PH.D.
• Brain Injury Association of Rhode Island
• Emily Branch, MS, RD, LDN
• Elizabeth Branconnier, CRNA

• Registered Dietitian in East Providence, RI
• Providers in East Providence, RI by specialty
• Registered Dietitian in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.