Active NPIIndividual providerSole proprietor

Michelle Mckeon, MS, CNS, LDN

Nutritionist in Mahwah, New Jersey

NPI Number1477152783
Practice location
1155 Sycamore Ln, Mahwah, NJ 07430-2354
Fax
—
Last updated
October 19, 2020

Michelle Mckeon is a Nutritionist based in Mahwah, NJ. Michelle Mckeon practices in Mahwah, NJ and has the professional credentials of MS, CNS, LDN. The NPI Number for Michelle Mckeon is 1477152783 and holds a License No. oo1938 (CT). The current practice location address for Michelle Mckeon is 1155 Sycamore Ln, Mahwah, NJ 07430-2354 and can be reached out via phone at 201-805-8837.

Provider Profile Details

NPI Number
1477152783
Provider Name
Michelle Mckeon
Credential
MS, CNS, LDN
Provider Entity Type
Individual
Gender
Female
Address
1155 Sycamore Ln, Mahwah, NJ 07430-2354
Phone Number
201-805-8837
Primary Taxonomy
Nutritionist · 133N00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 19, 2020
Last Update Date
October 19, 2020
Certification Date
October 19, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1155 Sycamore Ln
Mahwah, NJ 07430-2354
City
Mahwah
Zip
07430-2354
Phone Number
201-805-8837
Mahwah, NJ 07430Get directions →

Provider Business Mailing Address Details

Address
1155 Sycamore Ln
Mahwah, NJ 07430-2354
City
Mahwah
State
NJ
Zip
07430-2354
Phone Number
201-805-8837

License Information

License Number (1)
oo1938
License State (1)
CT
Taxonomy (1)
Nutritionist · 133N00000X
Taxonomy (2)
Nutritionist · 133N00000X
License Number (3)
001938
License State (3)
CT
Taxonomy (3)
Nutritionist · 133N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michelle Mckeon, MS, CNS, LDN?

The NPI number of Michelle Mckeon, MS, CNS, LDN is 1477152783. It was assigned on October 19, 2020 and is currently active in the NPPES registry.

What is the specialty of Michelle Mckeon, MS, CNS, LDN?

Michelle Mckeon, MS, CNS, LDN is registered under the primary taxonomy Nutritionist (code 133N00000X), licensed in CT under license number oo1938.

Where does Michelle Mckeon, MS, CNS, LDN practice?

The practice location is 1155 Sycamore Ln, Mahwah, NJ 07430-2354. The office can be reached at 201-805-8837 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477152783 directly on the NPPES registry website.

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