Individual provider Active NPI

Megan Clark, RD, LD

  • Registered Dietitian
  • Hoover, AL
National Provider Identifier
1871305250
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2047 Issued in AL
Practice address
7191 Cahaba Valley Rd Ste 108
Hoover, AL 35242-6461
Phone
(205) 930-8339
NPI assigned
Jan 23, 2025
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2047 AL Primary

Addresses

Primary practice location

7191 Cahaba Valley Rd Ste 108
Hoover, AL 35242-6461

Mailing address

108 Bell Cir
Alabaster, AL 35007-3135
Phone (205) 612-2344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250211002172 AL Practitioner - Registered Dietitian Or Nutrition Professional 5799215406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7191 Cahaba Valley Rd
Suite 107
Hoover, AL 35242-6507
Phone (205) 408-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Healthcare Network LLC Current Accepting new patients
St Vincents Ambulatory Healthcare Network LLC Dietitian, Registered CurrentSince Feb 10, 2025 Accepting new patients
St Vincents Ambulatory Healthcare Network LLC Past Accepting new patients

Locations

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

7191 Cahaba Valley Rd
Ste 107
Hoover, AL 35242
Phone (205) 408-6600

7191 Cahaba Valley Rd
Ste 108
Hoover, AL 35242
Phone (205) 408-2365

Interoperability endpoints

  • Direct secure messaging: megan.clark.1@9069.direct.athenahealth.com

Organizations & group practices 3

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": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1871305250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BELL CIR",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350073135",
            "telephone_number": "205-612-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7191 CAHABA VALLEY RD STE 108",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352426461",
            "telephone_number": "205-930-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MEGAN",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "2047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.