Angela Meghan Konegni, MS, RD, CSR, LD

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

1102808 Issued in CA

Practice address

212 S 11TH St Ste 4B
Coeur D Alene, ID 83814-4000

Phone

(208) 278-6388

Fax

(208) 601-6177

NPI assigned

Aug 12, 2022

Last updated

Dec 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Angela Meghan Burke Former name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Radish Nutrition LLC

  • Registered Dietitian
  • Coeur d'Alene, ID
  • NPI 1659195857

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Nurish'D USA, Inc

  • Registered Dietitian
  • Sheridan, WY
  • NPI 1760201990

  Dietitian, Registered

  NPD (past)
• Openloop Healthcare Partners California PC

  • General Practice Physician
  • Palm Desert, CA
  • NPI 1659042331

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1912635368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 E FERNAN CT",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145803",
            "telephone_number": "925-818-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S 11TH ST STE 4B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144000",
            "telephone_number": "208-278-6388",
            "fax_number": "208-601-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONEGNI",
        "first_name": "ANGELA",
        "middle_name": "MEGHAN",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, CSR, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2024-12-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1102808",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "CA",
            "license": "1102808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BURKE",
            "middle_name": "MEGHAN",
            "credential": "MS, RD, CSR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Kofman
• Sarah Ferguson Kohal, ARNP
• Jokke Kokkonen, DO
• Andrew Lewis Kominsky, MD
• Natalie D. Koncz, PA-C
• Carol Ann Kontos, PT
• Kootenai Audiology, LLC
• Kootenai County Emergency Medical Services System
• Kootenai Dental Group, LLC
• Kootenai Family Dental PLLC

• Renal Nutrition Registered Dietitian in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Renal Nutrition Registered Dietitian in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.