Active NPI
Megan Henderson
- Registered Dietitian
- Cumberland, MD
National Provider Identifier
1689047854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86017134
- Practice address
- 12500 Willowbrook Rd
Cumberland, MD 21502-6393 - Phone
- (240) 964-7780
- NPI assigned
- Nov 10, 2015
- Last updated
- Nov 10, 2015
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86017134 | PA | Primary |
Addresses
Primary practice location
12500 Willowbrook Rd
Cumberland, MD 21502-6393
Mailing address
12500 Willowbrook Road
Cumberland, MD 21502
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 |
|---|---|---|---|
| 86017134 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447113600000",
"number": "1689047854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12500 WILLOWBROOK ROAD",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "21502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12500 WILLOWBROOK RD",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215026393",
"telephone_number": "240-964-7780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "MEGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-10",
"last_updated": "2015-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "86017134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.