Active NPI
Megan Lyons, RDN
- Registered Dietitian
- Mount Laurel, NJ
National Provider Identifier
1952857948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86064418
- Practice address
- 15000 Midlantic Dr Ste 101
Mount Laurel, NJ 08054 - Phone
- (856) 380-2760
- NPI assigned
- Aug 30, 2016
- 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 | 86064418 | PA | Primary |
Addresses
Primary practice location
15000 Midlantic Dr Ste 101
Mount Laurel, NJ 08054
Mailing address
15000 Midlantic Dr Ste 101
Mount Laurel, NJ 08054-1573
Phone (856) 380-2760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22-3704728 | Other | NJ | THE RENFREW CENTER |
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 |
|---|---|---|---|
| 86064418 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1952857948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15000 MIDLANTIC DR STE 101",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080541573",
"telephone_number": "856-380-2760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15000 MIDLANTIC DR STE 101",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "08054",
"telephone_number": "856-380-2760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYONS",
"first_name": "MEGAN",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-30",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "86064418",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE RENFREW CENTER",
"identifier": "22-3704728",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Laurel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.