Individual provider Active NPI

Megan Elizabeth Radle, CPT, CES, NC

  • Health & Wellness Coach
  • Eau Claire, WI
National Provider Identifier
1841942943
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
120 W Grand Ave
Eau Claire, WI 54703-5325
Phone
(715) 514-0424
NPI assigned
Jan 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X WI Primary

Addresses

Primary practice location

120 W Grand Ave
Eau Claire, WI 54703-5325

Mailing address

120 W Grand Ave
Eau Claire, WI 54703-5325
Phone (715) 514-0424

Other names 1

  • Megan Elizabeth Kegley Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fixidfitness Health & Wellness Coach CurrentSince Feb 1, 2022 Accepting new patients

Locations

120 W Grand Ave
Eau Claire, WI 54703
Phone (715) 514-0242

Organizations & group practices 1

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": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1841942943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W GRAND AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035325",
            "telephone_number": "715-514-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W GRAND AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035325",
            "telephone_number": "715-514-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADLE",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "credential": "CPT, CES, NC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "KEGLEY",
            "middle_name": "ELIZABETH",
            "credential": "CPT, CES, NC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.