Provider Demographics
NPI:1649071754
Name:PATE, MEGAN (RDN)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:PATE
Suffix:
Gender:
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 TREASURE LN
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-7816
Mailing Address - Country:US
Mailing Address - Phone:423-297-4145
Mailing Address - Fax:
Practice Address - Street 1:185 TREASURE LN
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-7816
Practice Address - Country:US
Practice Address - Phone:423-297-4145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered