Individual provider Active NPI

Megan Theresa Wolf, RD, LD

  • Registered Dietitian
  • Lakewood, OH
National Provider Identifier
1881220960
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
08995 Issued in OH
Practice address
14601 Detroit Ave
Lakewood, OH 44107-4205
Phone
(216) 237-5500
NPI assigned
Mar 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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 08995 OH Primary

Addresses

Primary practice location

14601 Detroit Ave
Lakewood, OH 44107-4205

Mailing address

14601 Detroit Ave
Lakewood, OH 44107-4205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230930000418 MD Practitioner - Registered Dietitian Or Nutrition Professional 6507295045 Reassigns benefits to 2 organizations
I20241216001291 DC Practitioner - Registered Dietitian Or Nutrition Professional 6507295045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ryse Health Maryland Physicians PCGroup PAC ID 6305239310, 7 clinicians

Practice addresses (Care Compare)

1100 H St NW
Suite 1100
Washington, DC 20005-5967
Phone (571) 999-7973

3700 Koppers St
Suite 510
Baltimore, MD 21227-1051
Phone (240) 900-8808

6903 Rockledge Dr
Suite 820
Bethesda, MD 20817-7805
Phone (240) 552-9870

8320 Old Courthouse Rd
Suite 401
Vienna, VA 22182-3848
Phone (571) 999-7973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08995OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ryse Health Maryland Physicians, PC CurrentSince Oct 7, 2024 Accepting new patients
St Agnes Healthcare Inc CurrentSince Sep 18, 2023 Accepting new patients
St Agnes Healthcare Inc CurrentSince Sep 18, 2023 Accepting new patients

Locations

1100 H St NW
Ste 1100
Washington, DC 20005
Phone (202) 794-6821

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

6903 Rockledge Dr
Ste 820
Bethesda, MD 20817
Phone (240) 552-9870

6501 Baltimore National Pike
Ste D
Catonsville, MD 21228
Phone (667) 234-2100

6501 Baltimore National Pike
Catonsville, MD 21228
Phone (410) 740-0549

3700 Koppers St
Ste 510
Halethorpe, MD 21227
Phone (240) 392-6840

3585 Washington Blvd
Halethorpe, MD 21227

8320 Old Courthouse Rd
Ste 401
Vienna, VA 22182
Phone (571) 999-7973

Interoperability endpoints

  • Direct secure messaging: megan.wolf@309602398961668.direct.elationemr.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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1881220960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14601 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074205",
            "telephone_number": "216-237-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "MEGAN",
        "middle_name": "THERESA",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "08995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.