Megan Sullivan, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.006570 Issued in IL

Practice address

12356 S Natchez Ave
Palos Heights, IL 60463-1766

Phone

(708) 743-3069

NPI assigned

Aug 23, 2023

Last updated

Aug 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Devine Nutrition Inc

  • Clinic/Center
  • Palos Hills, IL
  • NPI 1982012241
  Medicare reassignment NPD
• Treehouse Pediatric Therapy P.C.

  • Pediatric Physical Therapist
  • Woodridge, IL
  • NPI 1568750107
  NPD (past)

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1639953185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12356 S NATCHEZ AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631766",
            "telephone_number": "708-743-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12356 S NATCHEZ AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631766",
            "telephone_number": "708-743-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MEGAN",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.006570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeleine Grace Subach, PA-C
• Adwaita Subhedar
• Sudershan Saxena M.D.S.C.
• Bernard J Sullivan, D.D.S.
• Brian C Sullivan, M.D.
• Summit Home Health, LLC. (JourneyCare Home Health)
• Joanne Therese Sundermeier, M,D,
• Surgical Consultants, LTD.
• Surgical Specialists, SC
• Dorina Suslovas, NP

• Registered Dietitian in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.