Megan Fahey, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86040583 Issued in CT

Practice address

112 Southfield Ave
Stamford, CT 06902-7663

Phone

(203) 350-2653

NPI assigned

Apr 11, 2019

Last updated

Apr 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1477016905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SOUTHFIELD AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069027663",
            "telephone_number": "203-350-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SOUTHFIELD AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069027663",
            "telephone_number": "203-350-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHEY",
        "first_name": "MEGAN",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "86040583",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Earl Ezzelle, LPC
• F.S. Dubois Center
• Sarah Kathryn Fabian
• Janelle Alexandra Fabre, LPN
• Ebtisam Faddoul, PA-C
• Jameson Charles Fairchild, LCSW
• Fairfield County Surgical Specialists, PC
• Fairfield Endo, PC
• Fairfield Endodontics PC
• Diana P Fajardo, PSYCHOLOGIST

• Registered Dietitian in Stamford, CT
• Providers in Stamford, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.

Verify at the official NPI Registry.