MEDICARE: MEGAN RIZZI REYNOLDS MS, RD, CSR, LD

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	133VN1005X	Renal Nutrition Registered Dietitian	5859	OH
2	133V00000X	Registered Dietitian	5859	OH
3	133V00000X	Registered Dietitian	976357
4	171400000X	Health & Wellness Coach	A-3771264
5	133VN1005X	Renal Nutrition Registered Dietitian	ND10800	FL

General Provider Information

NPI Number	:	1881893360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN RIZZI REYNOLDS MS, RD, CSR, LD

Provider Business Mailing Address
First Line	:	1991 CROCKER RD STE 600
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-6970
Country	:	US
Telephone Number	:	330-766-1818
Fax Number	:	833-536-1767

Provider Business Practice Location Address
First Line	:	5011 GATE PKWY BLDG 100
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-0830
Country	:	US
Telephone Number	:	330-766-1818
Fax Number	:	833-536-1767

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

Provider Enumeration Date	:	07/13/2007
Last Update Date	:	10/18/2025

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