Individual provider Active NPI

Megan McNeil, MS, RD, LD

  • Registered Dietitian
  • Santa Fe, NM
National Provider Identifier
1487933396
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1232 Issued in NM
Practice address
3201 Zafarano Dr Ste C147
Santa Fe, NM 87507-2668
Phone
(505) 395-0416
NPI assigned
Aug 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1232 NM Primary

Addresses

Primary practice location

3201 Zafarano Dr Ste C147
Santa Fe, NM 87507-2668

Mailing address

3201 Zafarano Dr Ste C147
Santa Fe, NM 87507-2668
Phone (505) 395-0416

Other practice location 1

2583 Camino San Patricio
Santa Fe, NM 87505-5836
Phone (510) 246-1881

Other identifiers 1

IdentifierTypeStateIssuer
030837367MedicaidCO

Other names 1

  • Megan Montoya Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120305000524 CO Practitioner - Registered Dietitian Or Nutrition Professional 0547429987 Reassigns benefits to 1 organization
I20190227001001 NM Practitioner - Registered Dietitian Or Nutrition Professional 0547429987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2583 Camino San Patricio
Santa Fe, NM 87505-5836
Phone (505) 395-0416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Trinidad Area Health Association CurrentSince Dec 29, 2011 Accepting new patients
Vibrant Health Nutrition Consulting, LLC Dietitian, Registered CurrentSince Sep 2, 2021 Accepting new patients
Trinidad Area Health Association CurrentSince Dec 29, 2011 Accepting new patients

Locations

410 Benedicta Ave
Trinidad, CO 81082
Phone (719) 846-8051

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1487933396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 ZAFARANO DR STE C147",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072668",
            "telephone_number": "505-395-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 ZAFARANO DR STE C147",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072668",
            "telephone_number": "505-395-0416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2583 Camino San Patricio",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875055836",
            "country_code": "US",
            "telephone_number": "510-246-1881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "MEGAN",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NM",
            "license": "1232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030837367",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "MONTOYA",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.