Active NPI
Megan Ashleigh Motter, RDN
- Registered Dietitian
- Fort Wayne, IN
National Provider Identifier
1811565195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1407 Sevan Lake CT
Fort Wayne, IN 46825-7233 - Phone
- (317) 657-4479
- NPI assigned
- Jun 14, 2021
- Last updated
- Jun 14, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary | |
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | NU |
Addresses
Primary practice location
1407 Sevan Lake CT
Fort Wayne, IN 46825-7233
Mailing address
1407 Sevan Lake CT
Fort Wayne, IN 46825-7233
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmotter@mail.lipscomb.edu | ||
| Direct Messaging Address | mamotter@frontier.com |
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
Interoperability endpoints
- megan.motter.1@30724.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1811565195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 SEVAN LAKE CT",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468257233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 SEVAN LAKE CT",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468257233",
"telephone_number": "317-657-4479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTTER",
"first_name": "MEGAN",
"middle_name": "ASHLEIGH",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-14",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmotter@mail.lipscomb.edu",
"affiliation": "N",
"address_1": "1407 Sevan Lake Ct",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468257233",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mamotter@frontier.com",
"affiliation": "N",
"address_1": "1407 Sevan Lake Ct",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468257233",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.