Active NPI
Melissa Anne Henszey, MS, RD, LD
- Registered Dietitian
- Palmer, AK
National Provider Identifier
1003206822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 863658
- Practice address
- 2030 S Killarney Dr
Palmer, AK 99645-8278 - Phone
- (907) 707-5665
- NPI assigned
- Feb 1, 2015
- Last updated
- Apr 13, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 863658 | Primary | |
| Registered Dietitian | 133V00000X | 353 | AK |
Addresses
Primary practice location
2030 S Killarney Dr
Palmer, AK 99645-8278
Mailing address
PO Box 1531
Palmer, AK 99645-1531
Phone (907) 707-5665
Other names 1
- Melissa Henszey Bleakney
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 353 | AK | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428883200000",
"number": "1003206822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1531",
"city": "PALMER",
"state": "AK",
"postal_code": "996451531",
"telephone_number": "907-707-5665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 S KILLARNEY DR",
"city": "PALMER",
"state": "AK",
"postal_code": "996458278",
"telephone_number": "907-707-5665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSZEY",
"first_name": "MELISSA",
"middle_name": "ANNE",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-01",
"last_updated": "2015-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "863658",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AK",
"license": "353",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "BLEAKNEY",
"middle_name": "HENSZEY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.