Individual provider Active NPI

Megan Elizabeth Konic, MS, RDN, LD

  • Registered Dietitian
  • Akron, OH
National Provider Identifier
1255060703
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD.09064 Issued in OH
Practice address
95 Arch St
Akron, OH 44304-1437
Phone
(330) 375-6590
Fax
(330) 375-6593
NPI assigned
Jun 9, 2022
Last updated
Jun 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD.09064 OH Primary

Addresses

Primary practice location

95 Arch St
Akron, OH 44304-1437

Mailing address

5120 Quail Hill St NW Apt B
North Canton, OH 44720-7256
Phone (330) 319-9379

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LD.09064OHMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1255060703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 QUAIL HILL ST NW APT B",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207256",
            "telephone_number": "330-319-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ARCH ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041437",
            "telephone_number": "330-375-6590",
            "fax_number": "330-375-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONIC",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.09064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.