MEDICARE: MEGAN ANDERSON RD LD CDCES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	DI70007781	WA

General Provider Information

NPI Number	:	1447101555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN ANDERSON RD LD CDCES

Provider Business Mailing Address
First Line	:	4015 E 40TH AVE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99223-6032
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4015 E 40TH AVE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99223-6032
Country	:	US
Telephone Number	:	512-484-2522
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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