Active NPI
Meghan C Rosevally, LDN
- Nutritionist
- Gastonia, NC
National Provider Identifier
1598547754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- L003695
- Practice address
- 111 E 3Rd Ave
Gastonia, NC 28052-4317 - Phone
- (704) 874-3300
- Fax
- (704) 874-0065
- NPI assigned
- Oct 20, 2023
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | L003695 | Primary |
Addresses
Primary practice location
111 E 3Rd Ave
Gastonia, NC 28052-4317
Mailing address
200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaston Family Health Services, Inc. | Current | Accepting new patients | |
| Gaston Family Health Services, Inc | Current | Accepting new patients |
Locations
991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000
200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904
111 E 3rd Ave
Gastonia, NC 28052
Phone (704) 853-5079
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Gastonia, NC
- NPI 1215932215
-
- Federally Qualified Health Center (FQHC)
- Gastonia, NC
- NPI 1306644315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1598547754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E 2ND AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524358",
"telephone_number": "704-874-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E 3RD AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524317",
"telephone_number": "704-874-3300",
"fax_number": "704-874-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEVALLY",
"first_name": "MEGHAN",
"middle_name": "C",
"credential": "LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-20",
"last_updated": "2023-10-20",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": "L003695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.