Individual provider Active NPI

Megan Rae Longobardi, R.D., L.D.

  • Registered Dietitian
  • Ankeny, IA
National Provider Identifier
1689039943
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
072429 Issued in IA
Practice address
1503 NE Williamsburg Dr
Ankeny, IA 50021-7434
Phone
(330) 883-1578
NPI assigned
Dec 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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 072429 IA Primary

Addresses

Primary practice location

1503 NE Williamsburg Dr
Ankeny, IA 50021-7434

Mailing address

1503 NE Williamsburg Dr
Ankeny, IA 50021-7434
Phone (330) 883-1578

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

LicenseStateTypeSpecialty
072429IAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1689039943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 NE WILLIAMSBURG DR",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500217434",
            "telephone_number": "330-883-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 NE WILLIAMSBURG DR",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500217434",
            "telephone_number": "330-883-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGOBARDI",
        "first_name": "MEGAN",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "072429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.