Active NPI
Megan Christine Swanson, RD
- Registered Dietitian
- Saint Louis, MO
National Provider Identifier
1386010064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2019023239
- Practice address
- 4921 Parkview PL
Div Im Endocrinology, Ste 13B
Saint Louis, MO 63110-1032 - Phone
- (314) 747-7300
- Fax
- (888) 869-4437
- NPI assigned
- Aug 17, 2015
- 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 | 2019023239 | MO | Primary |
Addresses
Primary practice location
4921 Parkview PL
Div Im Endocrinology, Ste 13B
Saint Louis, MO 63110-1032
Mailing address
660 S Euclid Ave
CB 8127
Saint Louis, MO 63110-1010
Phone (314) 747-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350089965 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019023239 | MO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1386010064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S EUCLID AVE",
"address_2": "CB 8127",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101010",
"telephone_number": "314-747-7300",
"fax_number": "314-747-7065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4921 PARKVIEW PL",
"address_2": "DIV IM ENDOCRINOLOGY, STE 13B",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101032",
"telephone_number": "314-747-7300",
"fax_number": "888-869-4437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "MEGAN",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-17",
"last_updated": "2021-11-15",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2019023239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "350089965",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "4921 Parkview Pl",
"address_2": "Div IM Endocrinology, Ste 13B",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101032",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.