Active NPI
Melissa Omohundro, RD, LD
- Registered Dietitian
- Lexington, KY
National Provider Identifier
1003008996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- KY-KY-1928
- Practice address
- 164 Acorn Falls Dr
Lexington, KY 40509-4489 - Phone
- (859) 227-8448
- NPI assigned
- Aug 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | KY-KY-1928 | KY | Primary |
Addresses
Primary practice location
164 Acorn Falls Dr
Lexington, KY 40509-4489
Mailing address
164 Acorn Falls Dr
Lexington, KY 40509-4489
Phone (859) 227-8448
Other names 1
- Melissa Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-KY-1928 | KY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1003008996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 ACORN FALLS DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405094489",
"telephone_number": "859-227-8448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 ACORN FALLS DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405094489",
"telephone_number": "859-227-8448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMOHUNDRO",
"first_name": "MELISSA",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "KY-KY-1928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "JOHNSON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.