Active NPI
Megan Marie Koehn, RDN, LD
- Registered Dietitian
- Tama, IA
National Provider Identifier
1417445073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 091426
- Practice address
- 1646 305TH St
Tama, IA 52339-9698 - Phone
- (641) 484-4094
- NPI assigned
- Apr 28, 2018
- Last updated
- Apr 28, 2018
- 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 | 091426 | IA | Primary |
Addresses
Primary practice location
1646 305TH St
Tama, IA 52339-9698
Mailing address
717 Locust St Unit 812
Des Moines, IA 50309-3746
Phone (563) 599-9942
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 |
|---|---|---|---|
| 091426 | IA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524873600000",
"number": "1417445073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 LOCUST ST UNIT 812",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503093746",
"telephone_number": "563-599-9942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1646 305TH ST",
"city": "TAMA",
"state": "IA",
"postal_code": "523399698",
"telephone_number": "641-484-4094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEHN",
"first_name": "MEGAN",
"middle_name": "MARIE",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-28",
"last_updated": "2018-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "091426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tama, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.