Active NPI
Janet Macon, MS, RD, LD
- Registered Dietitian
- Winona, MN
National Provider Identifier
1396149936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3175
- Practice address
- 22 Integrated Wellness Complex
175 West Mark Street
Winona, MN 55987-5838 - Phone
- (507) 457-5160
- NPI assigned
- Oct 10, 2014
- 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 | 3175 | MN | Primary |
Addresses
Primary practice location
22 Integrated Wellness Complex
175 West Mark Street
Winona, MN 55987-5838
Mailing address
222 Integrated Wellness Complex
P.O. Box 5838
Winona, MN 55987-5838
Phone (507) 457-5160
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 |
|---|---|---|---|
| 3175 | MN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412899200000",
"number": "1396149936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 INTEGRATED WELLNESS COMPLEX",
"address_2": "P.O. BOX 5838",
"city": "WINONA",
"state": "MN",
"postal_code": "559875838",
"telephone_number": "507-457-5160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 INTEGRATED WELLNESS COMPLEX",
"address_2": "175 WEST MARK STREET",
"city": "WINONA",
"state": "MN",
"postal_code": "559875838",
"telephone_number": "507-457-5160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACON",
"first_name": "JANET",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-10",
"last_updated": "2014-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "3175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winona, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.