Provider Demographics
NPI:1821817362
Name:MEGAN G., RD 225, LLC
Entity type:Organization
Organization Name:MEGAN G., RD 225, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:BARBEE
Authorized Official - Last Name:GIANELLONI
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LDN
Authorized Official - Phone:504-296-1165
Mailing Address - Street 1:25290 LA HIGHWAY 1032
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-5614
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10202 PERKINS ROWE STE E-160
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-2067
Practice Address - Country:US
Practice Address - Phone:225-451-2762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-09
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty