Wellformed AI

NPI 1043821390 · live from the CMS NPI Registry

Megan Allen

Dietitian, Registered in Indianapolis, IN. National Provider Identifier 1043821390, active.

NPI record

NPI1043821390 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location7240 Shadeland Sta Ste 200, Indianapolis, IN 46256
Practice phone317-621-2677
Mailing address6626 E 75th St Ste 500, Indianapolis, IN 46250
EnumeratedAugust 11, 2020
Last updatedMay 16, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered133V00000X— (IN)
Dietitian, Registered primary133V00000X37002560A (IN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.