Individual provider Active NPI

Megan Myers Bereman, RD LDN

  • Registered Dietitian
  • Raleigh, NC
National Provider Identifier
1760654057
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L003119 Issued in NC
Practice address
Student Health Services
Campus Box 7304
Raleigh, NC 27695-7304
Phone
(919) 513-1578
Fax
(888) 972-4151
NPI assigned
Mar 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L003119 NC Primary
Nutrition Education Nutritionist 133NN1002X L003119 NC

Addresses

Primary practice location

Student Health Services
Campus Box 7304
Raleigh, NC 27695-7304

Mailing address

2074 Tordelo PL
Apex, NC 27502-4749
Phone (919) 413-8667

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
L003119NCMDNutrition Education Nutritionist

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1760654057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 TORDELO PL",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024749",
            "telephone_number": "919-413-8667",
            "fax_number": "888-972-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STUDENT HEALTH SERVICES",
            "address_2": "CAMPUS BOX 7304",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276957304",
            "telephone_number": "919-513-1578",
            "fax_number": "888-972-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEREMAN",
        "first_name": "MEGAN",
        "middle_name": "MYERS",
        "name_prefix": "Ms.",
        "credential": "RD LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L003119",
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NC",
            "license": "L003119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.