Active NPI
Megan Jaycox, RDLD
- Registered Dietitian
- Cape Coral, FL
National Provider Identifier
1407096324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND9150
- Practice address
- 507 Del Prado Blvd S
Cape Coral, FL 33990-2618 - Phone
- (239) 424-3124
- Fax
- (239) 424-1423
- NPI assigned
- Mar 5, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 4424 | OH | |
| Registered Dietitian | 133V00000X | ND9150 | FL | Primary |
Addresses
Primary practice location
507 Del Prado Blvd S
Cape Coral, FL 33990-2618
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 424-3124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BC00325 | Other | OH | BCMH |
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 |
|---|---|---|---|
| 4424 | OH | MD | Pediatric Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633651200000",
"number": "1407096324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-424-3124",
"fax_number": "239-424-1423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 DEL PRADO BLVD S",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339902618",
"telephone_number": "239-424-3124",
"fax_number": "239-424-1423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAYCOX",
"first_name": "MEGAN",
"credential": "RDLD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-05",
"last_updated": "2021-10-08",
"certification_date": "2021-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "OH",
"license": "4424",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND9150",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCMH",
"identifier": "BC00325",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.