MEGAN ANTOSIK (NPI# 1184052169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184052169 |
| Entity Type | Individual |
| Full Name | MEGAN ANTOSIK |
| Credential | MS, RD, LD |
| Practice Address |
1040 Nw 22nd Ave Ste 520 Portland OR 97210 |
| Mailing Address |
Po Box 3808 Portland OR 97208-3808 |
| Practice Telephone | 5034137557 |
| Practice Fax Number | 5034136547 |
| Mailing Telephone | 5034133900 |
| Mailing Fax Number | 5034133710 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2019-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 10150700 | OR | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2801 N Gantenbein Ave, Portland, OR 972271623 | 5034132200 |
| Street Address |
1040 NW 22ND AVE STE 520 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922322510 | Sarah E Saltzberg | Dietitian, Registered | 1040 Nw 22nd Ave Ste 520, Portland, OR 97210-3097 | 2010-03-25 |
| 1699232868 | Daniela Matza | Dietitian, Registered | 1040 Nw 22nd Ave Ste 520, Portland, OR 97210-3097 | 2019-02-25 |
| 1609362672 | Megan A Beck | Dietitian, Registered | 1040 Nw 22nd Ave Ste 520, Portland, OR 97210-3097 | 2018-07-02 |
| 1669979043 | Emily Campbell | Dietitian, Registered | 1040 Nw 22nd Ave Ste 520, Portland, OR 97210-3097 | 2018-04-11 |
| 1942715339 | Asani H Seawell | Psychologist | 1040 Nw 22nd Ave Ste 520, Portland, OR 97210-3097 | 2017-12-06 |
| 1932641099 | Claire Tenenbaum | Physical Therapist | 1040 Nw 22nd Ave Ste 520, Portland, OR 97210 | 2016-11-07 |
| 1144606229 | Ryan Fairley | Surgery | 1040 Nw 22nd Ave Ste 520, Portland, OR 97210-3097 | 2015-07-30 |
| 1598056277 | Laura R Schaffer | Dietitian, Registered | 1040 Nw 22nd Ave Ste 520, Portland, OR 97210 | 2011-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
| 1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
| 1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
| 1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
| 1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
| 1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
| Find all providers in zip 97210 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483064 | Alayna Louise Hutchinson | Dietitian, Registered | 5258 Ne Cleveland Ave, Portland, OR 97211-2614 | 2020-09-29 |
| 1558973370 | Kianna Aumiller | Dietitian, Registered | 2167 Sw Yamhill St, Portland, OR 97205-1417 | 2020-08-21 |
| 1255943189 | Lisa Gilmore | Dietitian, Registered | 5214 Sw View Point Ter, Portland, OR 97239-3940 | 2020-08-21 |
| 1346852365 | Amanda Kristine Fredrickson | Dietitian, Registered | 3611 Se 64th Ave., Portland, OR 97206 | 2020-08-20 |
| 1770192353 | Jenice A Powell | Dietitian, Registered | 104 Se 30th Pl, Portland, OR 97214-1915 | 2020-07-29 |
| 1386253698 | Margaret Senic | Dietitian, Registered | 1745 Sw Huntington Ave, Portland, OR 97225-4751 | 2020-07-23 |
| 1881212272 | Emily Ryder | Dietitian, Registered | 624 Nw 20th Ave Apt 1, Portland, OR 97209-1219 | 2020-07-11 |
| 1427686211 | Veena M Manohar | Dietitian, Registered | 1308 Ne Dekum St, Portland, OR 97211-4180 | 2020-03-29 |
| 1841825056 | Allison Leigh Williams | Dietitian, Registered | 7106 Se Raymond Ct, Portland, OR 97206-4439 | 2020-03-08 |
| 1114557782 | House Nine LLC | Dietitian, Registered | 1413 Se Hawthorne Blvd # 1, Portland, OR 97214-3640 | 2020-01-22 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.