Individual provider Active NPI

Meagan A Coon, MS, RD

  • Registered Dietitian
  • Providence, RI
National Provider Identifier
1831729227
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN01050 Issued in RI
Practice address
148 W River St
Providence, RI 02904-2615
Phone
(401) 793-7817
NPI assigned
Jan 24, 2020
Last updated
Jan 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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 5000 MA
Registered Dietitian 133V00000X LDN01050 RI Primary

Addresses

Primary practice location

148 W River St
Providence, RI 02904-2615

Mailing address

148 W River St
Providence, RI 02904-2615
Phone (401) 793-7817

Other practice location 1

100 Rosebrook Way
Wareham, MA 02571-1138
Phone (508) 273-4900

Other identifiers 1

IdentifierTypeStateIssuer
LDN01050OtherRISTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcoon45289@direct.southcoast.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200602002209 MA Practitioner - Registered Dietitian Or Nutrition Professional 8224459060 Reassigns benefits to 1 organization
I20211110000164 RI Practitioner - Registered Dietitian Or Nutrition Professional 8224459060 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Medical Physicians IncGroup PAC ID 0345658316, 222 clinicians

Practice addresses (Care Compare)

146 W River St
Providence, RI 02904-2609
Phone (401) 793-5700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5000MAMDPsychologist
LDN01050RIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Physicians, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Lifespan Physician Group, Inc. Dietitian, Registered CurrentSince Nov 25, 2021 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Nov 25, 2021 Accepting new patients
Coastal Medical Physicians, Inc. Dietitian, Registered CurrentSince Apr 1, 2024 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Coastal Medical, Inc. Past Accepting new patients

Locations

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

100 Rosebrook Way
Wareham, MA 02571
Phone (508) 273-4950

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

146 W River St
Providence, RI 02904
Phone (401) 606-3000

148 W River St
Providence, RI 02904
Phone (401) 421-6306

148 W River St
Ste 8
Providence, RI 02904
Phone (401) 606-3000

Interoperability endpoints

  • Direct secure messaging: mcoon45289@direct.southcoast.org

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1831729227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 W RIVER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042615",
            "telephone_number": "401-793-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 W RIVER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042615",
            "telephone_number": "401-793-7817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Rosebrook Way",
            "address_purpose": "LOCATION",
            "city": "Wareham",
            "state": "MA",
            "postal_code": "025711138",
            "country_code": "US",
            "telephone_number": "508-273-4900",
            "fax_number": "508-273-4901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COON",
        "first_name": "MEAGAN",
        "middle_name": "A",
        "credential": "MS, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2022-01-13",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "5000",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN01050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LDN01050",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcoon45289@direct.southcoast.org",
            "affiliation": "N",
            "endpointDescription": "Southcoast Health Epic Direct Address",
            "address_1": "100 Rosebrook Way",
            "city": "Wareham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "025711138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.