MISS MEGHAN ELIZABETH BOURNE (RD, LDN, CDOE, CDCES) – Registered Dietitian, NPI 1174829873

MISS MEGHAN ELIZABETH BOURNE (RD, LDN, CDOE, CDCES) is a healthcare provider. based in Bristol, Rhode Island. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD, LDN, CDOE, CDCES. They hold a License No. 000003089 (MA). The NPI Number for MISS MEGHAN ELIZABETH BOURNE (RD, LDN, CDOE, CDCES) is 1174829873

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MISS MEGHAN ELIZABETH BOURNE (RD, LDN, CDOE, CDCES)
NPI
1174829873
Phone
(401) 396-9331
Address
685 METACOM AVENUE
Enumeration Date
28 January 2011
Last Update Date
17 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4013969331
Graduation Year
2009 (17 years ago)
PAC ID
4880872480
Group Practice PAC ID
2163668518
Professional Enrollment ID
I20110630000398
Address ID
RI029145300EA450XXPKWY416
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:15State licenses:2Digital endpointsOther names

75 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in RI

Provider Addresses for MISS MEGHAN ELIZABETH BOURNE (RD, LDN, CDOE, CDCES)

  • 685 METACOM AVENUE

    BRISTOL, RI 02809

    Phone: (401) 396-9331

    Fax: (401) 396-9369

    Type: Mailing

  • 450 VETERANS MEMORIAL PKWY STE 8C

    EAST PROVIDENCE, RI 029145300

    Phone: (401) 396-9331

    Fax: (401) 396-9369

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-06-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110630000398IRegistered Dietitian Or Nutrition ProfessionalRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02809)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163668518View full group profile
NameSpecialtyState
Registered Dietitian Or Nutrition ProfessionalRI
Registered Dietitian Or Nutrition ProfessionalRI
Registered Dietitian Or Nutrition ProfessionalRI
Registered Dietitian Or Nutrition ProfessionalMA
Registered Dietitian Or Nutrition ProfessionalRI
Registered Dietitian Or Nutrition ProfessionalMA
-RI
Registered Dietitian Or Nutrition ProfessionalMA
-RI
-RI

Reviews

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Frequently asked questions

What is the 10-digit NPI for MISS MEGHAN ELIZABETH BOURNE (RD, LDN, CDOE, CDCES)?
MISS MEGHAN ELIZABETH BOURNE (RD, LDN, CDOE, CDCES) — NPI 1174829873 — is the standard way to identify this listing.
Is MISS MEGHAN ELIZABETH BOURNE (RD, LDN, CDOE, CDCES) listed as active for patients and plans?
The listing shows MISS MEGHAN ELIZABETH BOURNE (RD, LDN, CDOE, CDCES) as active in the NPI system.
What is MISS MEGHAN ELIZABETH BOURNE (RD, LDN, CDOE, CDCES)'s specialty?
The listing groups MISS MEGHAN ELIZABETH BOURNE (RD, LDN, CDOE, CDCES) with Registered Dietitian. Clinical services aligned with this taxonomy classification.
Where should I expect MISS MEGHAN ELIZABETH BOURNE (RD, LDN, CDOE, CDCES) on a map?
Expect Bristol, Rhode Island as a primary anchor for MISS MEGHAN ELIZABETH BOURNE (RD, LDN, CDOE, CDCES) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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