Active NPI
Janai Marie Meyer, R.D., IBCLC
- Registered Dietitian
- Ketchikan, AK
National Provider Identifier
1932108347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 40
- 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, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003924 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| L-45481 | AK | MD | Lactation Consultant (Non-RN) |
| 40 | AK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinic/Center
- Ketchikan, AK
- NPI 1972976967
-
dba Hydaburg Health Center
- Clinic/Center
- Hydaburg, AK
- NPI 1073728168
-
dba Wrangell Medical Center
- Clinic/Center
- Wrangel, AK
- NPI 1487836391
-
- Clinic/Center
- Kasaan, AK
- NPI 1962616821
-
dba SEARHC Mt. Edgecumbe Medical Center
- Critical Access Hospital
- Sitka, AK
- NPI 1720062524
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.