Individual provider Active NPI

Melanie Beasley, RD

  • Registered Dietitian
  • Burnsville, MN
National Provider Identifier
1003367673
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1830 Issued in MN
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

Updated by the provider on Oct 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171226000057 MN Practitioner - Registered Dietitian Or Nutrition Professional 3577821453 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1830MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nutritional Weight & Wellness, Inc. CurrentSince Nov 15, 2017 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.

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.

Verify at the official NPI Registry.