Mrs Angela Meghan Konegni, MS, RD, CSR, LD | |
212 S 11th St Ste 4b, Coeur D Alene, ID 83814-4000 | |
(208) 278-6388 | |
(208) 601-6177 |
Full Name | Mrs Angela Meghan Konegni |
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Gender | Female |
Speciality | Dietitian, Registered - Nutrition, Renal |
Location | 212 S 11th St Ste 4b, Coeur D Alene, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912635368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1102808 (California) | Secondary |
133VN1005X | Dietitian, Registered - Nutrition, Renal | 1102808 (California) | Primary |
Provider Name | Openloop Healthcare Partners Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245820661 PECOS PAC ID: 2668871898 Enrollment ID: O20210923003392 |
Mailing Address | Practice Location Address |
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Mrs Angela Meghan Konegni, MS, RD, CSR, LD 2915 E Fernan Ct, Coeur D Alene, ID 83814-5803 Ph: (925) 818-9399 | Mrs Angela Meghan Konegni, MS, RD, CSR, LD 212 S 11th St Ste 4b, Coeur D Alene, ID 83814-4000 Ph: (208) 278-6388 |
Scott Geyer, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000 | |
Kimberley S Hall, DIETICIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-666-2000 Fax: 208-666-3963 | |
Ms. Taylor Zimmerman, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 521 N 17th St, Coeur D Alene, ID 83814 Phone: 208-340-5025 | |
Leah Joy, R.D., IBCLC Dietitian Medicare: Medicare Enrolled Practice Location: 1310 E Birch Ave, Coeur D Alene, ID 83814 Phone: 315-244-0677 | |
Amanda Ament, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1090 W Park Pl, Coeur D Alene, ID 83814 Phone: 208-215-2005 Fax: 844-807-3782 | |
Marsha A Jones, DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-666-2000 Fax: 208-666-3963 | |
Katie J Adrian, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-666-2000 Fax: 208-666-3963 |