Individual provider Active NPI

Meghan Scully, RD, LDN, CEDS

  • Registered Dietitian
  • Naperville, IL
National Provider Identifier
1912447236
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.006056 Issued in IL
Practice address
24W500 Maple Ave Ste 214
Naperville, IL 60540-6057
Phone
(630) 474-5321
NPI assigned
Mar 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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 164.006056 IL Primary

Addresses

Primary practice location

24W500 Maple Ave Ste 214
Naperville, IL 60540-6057

Mailing address

14015 James Dr Apt 516
Crestwood, IL 60418-4174
Phone (708) 670-1000

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

LicenseStateTypeSpecialty
164.006056ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition Braved, LLC Dietitian, Registered CurrentSince Dec 1, 2021 Accepting new patients
The Renfrew Centers, Inc. Past Accepting new patients
The Renfrew Center of Illinois PastSince Jul 24, 2022 Accepting new patients

Locations

24W500 Maple Ave
Ste 214
Naperville, IL 60540
Phone (630) 474-5321

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": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1912447236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14015 JAMES DR APT 516",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604184174",
            "telephone_number": "708-670-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24W500 MAPLE AVE STE 214",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406057",
            "telephone_number": "630-474-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCULLY",
        "first_name": "MEGHAN",
        "credential": "RD, LDN, CEDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.006056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.