Megan Lola Griffing, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164008010 Issued in IL

Practice address

1616 Eastport Plaza Dr
Collinsville, IL 62234-6128

Phone

(618) 690-9555

NPI assigned

Jul 5, 2024

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

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Biovision Clinical LLC

  • Registered Dietitian
  • Shiloh, IL
  • NPI 1588412993

  Dietitian, Registered

  Medicare reassignment NPD
• Biovision Diagnostics, LLC

  • Clinical Medical Laboratory
  • Collinsville, IL
  • NPI 1518531292
  NPD (past)

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1932945201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 OLIVIA LN",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 EASTPORT PLAZA DR",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622346128",
            "telephone_number": "618-690-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFING",
        "first_name": "MEGAN",
        "middle_name": "LOLA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1101X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Gerontological",
            "state": "IL",
            "license": "164008010",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164008010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Gertz, OTR/L
• Shauna Padgett Gholston, M. ED
• Jeantielle M Gonzalez, M.S. CCC-SLP
• Rachel Gotshall
• Michelle Graham, MSW, LSW
• Kyle Sumio Hack, D.C.
• Alan Hagen, MD
• Laura Nolte Hahn, D.M.D
• Shannon Noelle Hall-Nannini, MSW, LSW
• Amy Hargett, M.S., CCC-SLP

• Registered Dietitian in Collinsville, IL
• Providers in Collinsville, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.