Individual provider Active NPI

Meghan Theurer, APRN-CNP

  • Pediatric Nurse Practitioner
  • North Port, FL
National Provider Identifier
1790137875
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN.CNP.022752 Issued in OH
Practice address
3149 Bobcat Village Center Rd
North Port, FL 34288-8974
Phone
(941) 266-5629
NPI assigned
Jul 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APRN.CNP.022752 OH Primary

Addresses

Primary practice location

3149 Bobcat Village Center Rd
North Port, FL 34288-8974

Mailing address

3149 Bobcat Village Center Rd
North Port, FL 34288-8974
Phone (941) 266-5629

Other identifiers 1

IdentifierTypeStateIssuer
0286488MedicaidOH

Other names 1

  • Meghan McDaniel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180615002025 OH Practitioner - Nurse Practitioner 2961757919 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Children'S Specialty Physicians, Inc. Pediatrics CurrentSince Jul 1, 2022 Accepting new patients
Dayton Children'S Specialty Physicians, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Dayton Children'S Hospital Pediatrics CurrentSince Jul 1, 2022 Accepting new patients
Dayton Children'S Hospital Pediatrics CurrentSince Jul 1, 2022 Accepting new patients
Gold Star Pediatrics PA PastSince Aug 17, 2025 Accepting new patients

Locations

3301 Dayton Xenia Rd
Ste 200
Beavercreek, OH 45432
Phone (937) 641-5098

6044 Wilmington Pike
Dayton, OH 45459
Phone (937) 641-3270

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

8501 Old Troy Pike
Huber Heights, OH 45424
Phone (937) 233-1095

967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330

3333 W Tech Rd
Miamisburg, OH 45342
Phone (937) 641-3400

662 N Main St
Springboro, OH 45066
Phone (937) 641-5066

7787 Cox Ln
West Chester, OH 45069
Phone (513) 644-8081

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1790137875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3149 BOBCAT VILLAGE CENTER RD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342888974",
            "telephone_number": "941-266-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3149 BOBCAT VILLAGE CENTER RD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342888974",
            "telephone_number": "941-266-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEURER",
        "first_name": "MEGHAN",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "APRN.CNP.022752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0286488",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "MCDANIEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Port, FL

Sources for this page

Verify at the official NPI Registry.