Active NPI
Morgan Nichole Pavon, RD, LD
- Registered Dietitian
- Altoona, IA
National Provider Identifier
1457918187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 093474
- Practice address
- 108 8TH St SW
Altoona, IA 50009-1760 - Phone
- (515) 967-7676
- NPI assigned
- May 29, 2019
- Last updated
- Jun 11, 2019
- 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 | 093474 | IA | Primary |
Addresses
Primary practice location
108 8TH St SW
Altoona, IA 50009-1760
Mailing address
304 10TH Ave NW
Altoona, IA 50009-1355
Phone (515) 720-2192
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 093474 | IA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
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": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1457918187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 10TH AVE NW",
"city": "ALTOONA",
"state": "IA",
"postal_code": "500091355",
"telephone_number": "515-720-2192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 8TH ST SW",
"city": "ALTOONA",
"state": "IA",
"postal_code": "500091760",
"telephone_number": "515-967-7676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVON",
"first_name": "MORGAN",
"middle_name": "NICHOLE",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-29",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "093474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altoona, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.