Provider Demographics
NPI:1912885518
Name:ROBERTS, MEGAN (MS, RD, LD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1511 SW 6TH ST
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64081-2444
Mailing Address - Country:US
Mailing Address - Phone:816-885-0897
Mailing Address - Fax:
Practice Address - Street 1:400 NW MURRAY RD
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64081-1498
Practice Address - Country:US
Practice Address - Phone:816-347-3742
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2927133V00000X
MO2023046470133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered