Active NPI
Melissa Wadolowski, RD, LDN
- Registered Dietitian
- Philadelphia, PA
National Provider Identifier
1003357633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86019100
- Practice address
- 2723 Almond St
Philadelphia, PA 19134-4707 - Phone
- (631) 897-3294
- NPI assigned
- Mar 15, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86019100 | PA | Primary |
Addresses
Primary practice location
2723 Almond St
Philadelphia, PA 19134-4707
Mailing address
2723 Almond St
Philadelphia, PA 19134-4707
Phone (631) 897-3294
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86019100 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition School LLC | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1003357633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2723 ALMOND ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191344707",
"telephone_number": "631-897-3294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2723 ALMOND ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191344707",
"telephone_number": "631-897-3294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADOLOWSKI",
"first_name": "MELISSA",
"name_prefix": "Ms.",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-15",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "86019100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.