Individual provider Active NPI

Megan Perez, MS, RD, LDN

  • Registered Dietitian
  • Lake Worth, FL
National Provider Identifier
1801301791
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
7063 Issued in FL
Practice address
6400 Breckenridge Cir
Lake Worth, FL 33467-6824
Phone
(330) 243-1016
NPI assigned
Dec 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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 7063 FL Primary

Addresses

Primary practice location

6400 Breckenridge Cir
Lake Worth, FL 33467-6824

Mailing address

6400 Breckenridge Cir
Lake Worth, FL 33467-6824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231222001484 FL Practitioner - Registered Dietitian Or Nutrition Professional 6507216132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Department of HealthGroup PAC ID 3072424282, 126 clinicians

Practice addresses (Care Compare)

1150 45TH St
West Palm Beach, FL 33407-2361
Phone (561) 514-5302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7063FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Nov 27, 2023 Accepting new patients
Florida Department of Health CurrentSince Nov 27, 2023 Accepting new patients

Locations

1250 Southwinds Dr
Lantana, FL 33462
Phone (561) 547-6800

800 Clematis St
West Palm Beach, FL 33401
Phone (561) 837-5560

1150 45th St
West Palm Beach, FL 33407
Phone (561) 514-5300

800 Clematis St
Ste 5531
West Palm Beach, FL 33401
Phone (561) 671-4036

Organizations & group practices 2

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": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1801301791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 BRECKENRIDGE CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 BRECKENRIDGE CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676824",
            "telephone_number": "330-243-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MEGAN",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "7063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.