Eileen McMahon, RDN, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D01997 Issued in MD

Practice address

12510 Jarrettsville Pike
Phoenix, MD 21131-2301

Phone

(410) 215-2055

NPI assigned

Apr 3, 2007

Last updated

Oct 17, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 MD

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1750402830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12510 JARRETTSVILLE PIKE",
            "city": "PHOENIX",
            "state": "MD",
            "postal_code": "211312301",
            "telephone_number": "410-215-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 JARRETTSVILLE PIKE",
            "city": "PHOENIX",
            "state": "MD",
            "postal_code": "211312301",
            "telephone_number": "410-215-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "EILEEN",
        "credential": "RDN, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "D01997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Stephen Lorusso, ATC
• M. F. Diffendall OD PA (Jacksonville Eye Care)
• Main Street Children's Dentistry and Orthodontics of Phoenix LLC
• Luisa F Massari, M.D.
• Carol Zoanne McGinnis, PHD, LCPC
• Lynn Denise Messick, RPH
• Lauren A Miller, DPT
• Patrick Aidan Murphy, M.D.
• Brandon Nehus
• Nicole Neukum

• Registered Dietitian in Phoenix, MD
• Providers in Phoenix, MD by specialty
• Registered Dietitian in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.