Active NPI
Meghan Scully, RD, LDN, CEDS
- Registered Dietitian
- Naperville, IL
National Provider Identifier
1912447236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.006056
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 164.006056 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition Braved, LLC | Dietitian, Registered | Current | Accepting new patients |
| The Renfrew Centers, Inc. | Past | Accepting new patients | |
| The Renfrew Center of Illinois | Past | 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.
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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.