MS. MEGAN ELIZABETH MOON


Address: 1415 Vermont St, Quincy, IL 62301-3119
Phone: 2172238400

MS. MEGAN ELIZABETH MOON (NPI# 1811227549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811227549
Entity Type Individual
Full Name MS. MEGAN ELIZABETH MOON
Other Name MRS. MEGAN ELIZABETH SMIDDY
Credential RD, LDN
Practice Address 1415 Vermont St
Quincy
IL 62301-3119
Mailing Address 1040 1/2 Broadway St
Quincy
IL 62301-2835
Practice Telephone 2172238400
Practice Fax Number 2172239716
Mailing Telephone 2172238400
Mailing Fax Number 2172239716
Enumeration Date 2009-12-31
Last Update Date 2010-11-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
164005000 IL Dietary & Nutritional Service Providers

Other Providers MEGAN MOON

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Office Location

Street Address 1415 VERMONT ST
City QUINCY
State IL
Zip Code 62301-3119

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487613816 Tessa Jean Johnson Dentist 1415 Vermont St, Quincy, IL 62301-3119 2006-03-23
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1487887741 Tina Sue Lucas Stoner Dentist 1415 Vermont St, Quincy, IL 62301-3119 2009-09-02
1174600472 Tracy Prow Counselor 1415 Vermont St, Quincy, IL 62301-3119 2006-11-01
1063508927 Claudia Lasys Social Worker 1415 Vermont St, Quincy, IL 62301-3119 2006-10-05
1063428142 Maria L Connoyer Dentist 1415 Vermont St, Quincy, IL 62301-3119 2006-07-31
1659339893 Srdjan Ilic-siljak Dentist 1415 Vermont St, Quincy, IL 62301-3119 2006-05-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356969471 Lutheran Child and Family Service of Illinois Foster Care Agency 1400 N. 30th St, Quincy, IL 62301 2020-07-07
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1770987323 Kirsty Yvonne Reed Counselor 205 S. 24th Street, Chaddock, Quincy, IL 62301 2014-10-10
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1730314071 James D Kaufmann Pharmacist 14th & Broadway, Quincy, IL 62301 2009-05-15
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Taxonomy Information

Taxonomy Code 133VN1006X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Metabolic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073847539 Luz Adriana Sancen De Brown Dietitian, Registered 2009 Elm St, Quincy, IL 62301-3233 2009-09-30
1710248448 Ami Diane Froese Dietitian, Registered 1005 Broadway St, Quincy, IL 62301-2834 2012-05-29
1740555093 Chris M. Geldernick Dietitian, Registered 1005 Broadway St, Quincy, IL 62301-2834 2012-03-20
1326270133 Brittany Marie Winship Dietitian, Registered 3700 Broadway St, Quincy, IL 62305-2822 2009-08-12
1821236878 Sarah Jean Rommesmo Dietitian, Registered 1005 Broadway St, Quincy, IL 62301-2834 2009-01-29
1902059256 Lily Lam Dietitian, Registered 1005 Broadway St, Quincy, IL 62301-2834 2008-10-30
1063681906 Blessing Hospital Dietitian, Registered 1005 Broadway St, Quincy, IL 62301-2834 2008-02-25

Providers in the same taxonomy and state

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1922238989 Siu Mui Carman Cheng Dietitian, Registered 2850 S Michigan Ave, Chicago, IL 60616-5018 2009-07-23
1457506214 Corporate Wellness Inc Dietitian, Registered 2272 W 95th St Ste 305, Naperville, IL 60564-8944 2008-11-20
1629227913 Harriet Shelley Salzberg Dietitian, Registered 276 Chicory Ln, Buffalo Grove, IL 60089-1835 2008-09-11
1053456384 Susan Kagen Podell Dietitian, Registered 560 N Midlothian Rd, Suite 400, Mundelein, IL 60060-1654 2007-02-21
1992299788 Walsh Nutrition Group, Inc. Dietitian, Registered 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 2018-06-15
1639663412 Laura Walsh Dietitian, Registered 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 2018-06-15
1477045763 Andrea Williams Dietitian, Registered 800 E 55th St, Chicago, IL 60615-4906 2018-06-01
1114425618 Neda Khudeira Dietitian, Registered 8071 S Cicero Ave, Chicago, IL 60652-2003 2018-01-30
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City QUINCY
Zip Code 62301

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Dataset Information

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.

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