Active NPI
Melanie Beasley, RD
- Registered Dietitian
- Burnsville, MN
National Provider Identifier
1003367673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1830
- Practice address
- 461 Stonewood LN
Burnsville, MN 55306-2503 - Phone
- (952) 484-1137
- NPI assigned
- Oct 19, 2016
- 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 | 1830 | MN | Primary |
Addresses
Primary practice location
461 Stonewood LN
Burnsville, MN 55306-2503
Mailing address
461 Stonewood LN
Burnsville, MN 55306-2503
Phone (952) 484-1137
Other names 1
- Melanie Meyer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1830 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutritional Weight & Wellness, Inc. | Current | Accepting new patients |
Locations
45 Snelling Ave N
Saint Paul, MN 55104
Phone (651) 326-5650
3420 Denmark Ave
Saint Paul, MN 55123
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.
-
- Nutritionist
- Saint Paul, MN
- NPI 1700024890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1003367673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "461 STONEWOOD LN",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553062503",
"telephone_number": "952-484-1137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 STONEWOOD LN",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553062503",
"telephone_number": "952-484-1137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEASLEY",
"first_name": "MELANIE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-19",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "1830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELANIE",
"last_name": "MEYER",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.