Active NPI
Meagan A Coon, MS, RD
- Registered Dietitian
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN01050
- Practice address
- 148 W River St
Providence, RI 02904-2615 - Phone
- (401) 793-7817
- NPI assigned
- Jan 24, 2020
- Last updated
- Jan 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LDN01050 | Other | RI | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mcoon45289@direct.southcoast.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5000 | MA | MD | Psychologist |
| LDN01050 | RI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Medical Physicians, Inc. | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Dietitian, Registered | Current | Accepting new patients |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Coastal Medical Physicians, Inc. | Dietitian, Registered | Current | Accepting new patients |
| Southcoast Physicians Group, Inc. | Current | 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
- 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.
-
dba Brown Health Medical Group Primary Care
- Internal Medicine Physician
- Providence, RI
- NPI 1780273540
Dietitian, Registered
-
dba Brown Health Medical Group
- General Practice Physician
- Providence, RI
- NPI 1407116643
Dietitian, Registered
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
-
dba Brown Health Medical Group Primary Care
- Internal Medicine Physician
- Riverside, RI
- NPI 1093678104
-
dba Brown Health Medical Group
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1902201536
-
- Non-Pharmacy Dispensing Site
- East Providence, RI
- NPI 1144361718
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.