Active NPI
Rebecca Megan Gilligan, RDN
- Registered Dietitian
- Cave Creek, AZ
National Provider Identifier
1871206086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1018278
- Practice address
- 4430 E Coyote Wash Dr
Cave Creek, AZ 85331-4024 - Phone
- (480) 390-5352
- NPI assigned
- Jan 3, 2023
- Last updated
- Jan 3, 2023
- 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 | 1018278 | AZ | Primary |
Addresses
Primary practice location
4430 E Coyote Wash Dr
Cave Creek, AZ 85331-4024
Mailing address
4430 E Coyote Wash Dr
Cave Creek, AZ 85331-4024
Phone (480) 390-5352
Other names 1
- Rebecca Megan Prager
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1018278 | AZ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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, 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": "1672704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1871206086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4430 E COYOTE WASH DR",
"city": "CAVE CREEK",
"state": "AZ",
"postal_code": "853314024",
"telephone_number": "480-390-5352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4430 E COYOTE WASH DR",
"city": "CAVE CREEK",
"state": "AZ",
"postal_code": "853314024",
"telephone_number": "480-390-5352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIGAN",
"first_name": "REBECCA",
"middle_name": "MEGAN",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-03",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AZ",
"license": "1018278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "PRAGER",
"middle_name": "MEGAN",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cave Creek, AZ
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- Drew Giardina, DPT
- Alexis Giusti
- Melissa Jean Goins, DDS
- Randi Goodman, LMFT
- Lisa Joy Gordon, LCSW, ACSW
- Gretchen J Gorr, M.S. CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.