Individual provider Active NPI

Janai Marie Meyer, R.D., IBCLC

  • Registered Dietitian
  • Ketchikan, AK
National Provider Identifier
1932108347
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
40 Issued in AK
Practice address
130 Carlanna Lake Rd Lowr
Ketchikan, AK 99901-5611
Phone
(907) 220-9920
Fax
(907) 220-9925
NPI assigned
Jul 18, 2005
Last updated
Jul 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 40 AK Primary
Lactation Consultant (Non-RN) 174N00000X L-45481 AK

Addresses

Primary practice location

130 Carlanna Lake Rd Lowr
Ketchikan, AK 99901-5611

Mailing address

130 Carlanna Lake Rd Lowr
Ketchikan, AK 99901-5611
Phone (907) 220-9920

Other identifiers 1

IdentifierTypeStateIssuer
1003924MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130702000530 AK Practitioner - Registered Dietitian Or Nutrition Professional 0446438147 Practice locations: Ketchikan, AK

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L-45481AKMDLactation Consultant (Non-RN)
40AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South East Alaska Regional Health Consortium Past Accepting new patients
South East Alaska Regional Health Consortium Past Accepting new patients
Southeast Alaska Regional Health Consortium Past Accepting new patients
South East Alaska Regional Health Consortium Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1932108347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CARLANNA LAKE RD LOWR",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015611",
            "telephone_number": "907-220-9920",
            "fax_number": "907-220-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CARLANNA LAKE RD LOWR",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015611",
            "telephone_number": "907-220-9920",
            "fax_number": "907-220-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "JANAI",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "R.D., IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AK",
            "license": "40",
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "AK",
            "license": "L-45481",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003924",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ketchikan, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.