Provider Demographics
NPI:1972889814
Name:HAMMIS, MEGAN LYNN (RD)
Entity type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:LYNN
Last Name:HAMMIS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MS
Other - First Name:MEGAN
Other - Middle Name:LYNN
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:1520 N MILLER RD
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48609-4270
Mailing Address - Country:US
Mailing Address - Phone:989-928-4320
Mailing Address - Fax:
Practice Address - Street 1:1520 N MILLER RD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48609-4270
Practice Address - Country:US
Practice Address - Phone:989-928-4320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-24
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI133V00000X
133VN1201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered