Active NPI
Megan Elizabeth Jeffris, RDN
- Registered Dietitian
- Springfield, MO
National Provider Identifier
1871906149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 086345526
- Practice address
- 2135 S Fremont Ave
Springfield, MO 65804-2239 - Phone
- (417) 820-7990
- NPI assigned
- Jun 4, 2014
- Reactivated
- Jul 2, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2013025851 | MO | |
| Registered Dietitian | 133V00000X | 086345526 | Primary |
Addresses
Primary practice location
2135 S Fremont Ave
Springfield, MO 65804-2239
Mailing address
6600 Van Aalst Blvd
Fort Moore, GA 31905
Phone (509) 630-4005
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 |
|---|---|---|---|
| 2013025851 | MO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1871906149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 VAN AALST BLVD",
"city": "FORT MOORE",
"state": "GA",
"postal_code": "31905",
"telephone_number": "509-630-4005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2135 S FREMONT AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042239",
"telephone_number": "417-820-7990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFRIS",
"first_name": "MEGAN",
"middle_name": "ELIZABETH",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-04",
"last_updated": "2024-07-02",
"deactivation_date": "2024-06-13",
"reactivation_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "2013025851",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "086345526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.