Active NPI
Diane Elizabeth Meehan, RDN, LD
- Registered Dietitian
- Beaverton, OR
National Provider Identifier
1497581045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD-D-10166688
- Practice address
- 13905 SW Meridian St Unit 409
Beaverton, OR 97005-2475 - Phone
- (917) 763-6000
- NPI assigned
- Sep 10, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD-D-10166688 | OR | Primary |
Addresses
Primary practice location
13905 SW Meridian St Unit 409
Beaverton, OR 97005-2475
Mailing address
13905 SW Meridian St Unit 409
Beaverton, OR 97005-2475
Phone (917) 763-6000
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 |
|---|---|---|---|
| LD-D-10166688 | OR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1497581045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13905 SW MERIDIAN ST UNIT 409",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052475",
"telephone_number": "917-763-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13905 SW MERIDIAN ST UNIT 409",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052475",
"telephone_number": "917-763-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEHAN",
"first_name": "DIANE",
"middle_name": "ELIZABETH",
"credential": "RDN, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-10",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "LD-D-10166688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.