Active NPI
Megan Pemberton, MS, RD, LD
- Registered Dietitian
- Pacific, MO
National Provider Identifier
1316699333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2021036303
- Practice address
- 2510 Spring Valley Rd
Pacific, MO 63069-2723 - Phone
- (866) 884-6139
- NPI assigned
- Jan 20, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 2021036303 | MO | Primary |
Addresses
Primary practice location
2510 Spring Valley Rd
Pacific, MO 63069-2723
Mailing address
539 Faith Dr
Lake Saint Louis, MO 63367-6468
Phone (636) 497-0346
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021036303 | MO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1316699333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 FAITH DR",
"city": "LAKE SAINT LOUIS",
"state": "MO",
"postal_code": "633676468",
"telephone_number": "636-497-0346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 SPRING VALLEY RD",
"city": "PACIFIC",
"state": "MO",
"postal_code": "630692723",
"telephone_number": "866-884-6139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEMBERTON",
"first_name": "MEGAN",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-20",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2021036303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pacific, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.