Individual provider Active NPI

Megan Greer Obreiter, RD

  • Registered Dietitian
  • Valley Village, CA
National Provider Identifier
1649896895
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86092274 Issued in CA
Practice address
5510 Corteen PL Apt 3
Valley Village, CA 91607-1647
Phone
(818) 394-0166
NPI assigned
Jun 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 86092274 CA Primary

Addresses

Primary practice location

5510 Corteen PL Apt 3
Valley Village, CA 91607-1647

Mailing address

4804 Laurel Canyon Blvd
# 190
Valley Village, CA 91607-3717
Phone (818) 394-0166

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
86092274CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1649896895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 LAUREL CANYON BLVD",
            "address_2": "# 190",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073717",
            "telephone_number": "818-394-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 CORTEEN PL APT 3",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071647",
            "telephone_number": "818-394-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBREITER",
        "first_name": "MEGAN",
        "middle_name": "GREER",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86092274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.