Active NPI
Cory Mygrant, MS, RDN
- Registered Dietitian
- Indianapolis, IN
National Provider Identifier
1801420245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86061086
- Practice address
- 9347 Pendleton Pike
Indianapolis, IN 46236-2768 - Phone
- (260) 359-2444
- NPI assigned
- Feb 25, 2020
- Last updated
- Feb 25, 2020
- 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 | 86061086 | IN | Primary |
Addresses
Primary practice location
9347 Pendleton Pike
Indianapolis, IN 46236-2768
Mailing address
9347 Pendleton Pike
Indianapolis, IN 46236-2768
Phone (260) 359-2444
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cmygrant@wellhealthworx.com | Direct |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86061086 | IN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1801420245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9347 PENDLETON PIKE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462362768",
"telephone_number": "260-359-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9347 PENDLETON PIKE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462362768",
"telephone_number": "260-359-2444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYGRANT",
"first_name": "CORY",
"credential": "MS, RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-25",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "86061086",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cmygrant@wellhealthworx.com",
"affiliation": "N",
"endpointDescription": "I use my email to communicate securely by using subject line 'Confidential:'",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Text/information",
"address_1": "9347 Pendleton Pike",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462362768",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Indianapolis, IN
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- Shane Maung Myint, FNP-C
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- Kristen M Mylcraine, DO
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- Megan Myles
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.