Active NPI
Mary Meegan
- Registered Dietitian
- Warsaw, IN
National Provider Identifier
1295184414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164001746
- Practice address
- 1500 Provident Dr
Warsaw, IN 46580-3377 - Phone
- (574) 372-7890
- Fax
- (574) 372-7891
- NPI assigned
- Jun 8, 2016
- Last updated
- Jun 8, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164001746 | IL | Primary |
Addresses
Primary practice location
1500 Provident Dr
Warsaw, IN 46580-3377
Mailing address
1500 Provident Dr
Warsaw, IN 46580-3377
Phone (574) 372-7890
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 |
|---|---|---|---|
| 164001746 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465344000000",
"number": "1295184414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 PROVIDENT DR",
"city": "WARSAW",
"state": "IN",
"postal_code": "465803377",
"telephone_number": "574-372-7890",
"fax_number": "574-372-7891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 PROVIDENT DR",
"city": "WARSAW",
"state": "IN",
"postal_code": "465803377",
"telephone_number": "574-372-7890",
"fax_number": "574-372-7891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEGAN",
"first_name": "MARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-08",
"last_updated": "2016-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164001746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warsaw, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.