Active NPI
Megan Campbell, MS, RD, LDN
- Registered Dietitian
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.004782
- Practice address
- 561 W Diversey Pkwy Ste 219
Chicago, IL 60614-1682 - Phone
- (312) 533-1754
- NPI assigned
- Nov 10, 2009
- Last updated
- Jun 5, 2012
- 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 | 164.004782 | IL | Primary |
Addresses
Primary practice location
561 W Diversey Pkwy Ste 219
Chicago, IL 60614-1682
Mailing address
561 W Diversey Pkwy Ste 219
Chicago, IL 60614-1682
Phone (312) 533-1754
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.004782 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthier Tomorrows, PLLC | Dietitian, Registered | Current | Accepting new patients |
Locations
2551 N Clark St
Chicago, IL 60614
Phone (773) 248-6476
2551 N Clark St
Ste 400
Chicago, IL 60614
Phone (312) 533-1754
561 W Diversey Pkwy
Ste 219
Chicago, IL 60614
Phone (312) 533-1754
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338854400000",
"number": "1336476472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "561 W DIVERSEY PKWY STE 219",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141682",
"telephone_number": "312-533-1754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "561 W DIVERSEY PKWY STE 219",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141682",
"telephone_number": "312-533-1754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "MEGAN",
"credential": "MS, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-10",
"last_updated": "2012-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.004782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.