Active NPI
Melissa Maheu, MS, RD, LDN
- Registered Dietitian
- Newport, RI
National Provider Identifier
1013065366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN00559
- Practice address
- 195 Broadway
Newport, RI 02840-2610 - Phone
- (401) 486-7089
- NPI assigned
- Jan 5, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Registered Dietitian | 133V00000X | LDN00559 | RI | Primary |
Addresses
Primary practice location
195 Broadway
Newport, RI 02840-2610
Mailing address
493 Broadway
Newport, RI 02840-1759
Phone (401) 486-7089
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 413226 | Other | RI | BCBS-BLUECHIP |
| 31814-3 | Other | RI | BLUE CROSS BLUE SHIELD |
| 31808 | Other | RI | NEIGHBORHOOD HEALTH PLAN |
| 002683999 | Other | RI | UNITED HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090305000112 | RI | Practitioner - Registered Dietitian Or Nutrition Professional | 0244396984 | Practice locations: Newport, RI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN00559 | RI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eat to Live | Dietitian, Registered | Current | Accepting new patients |
Locations
493 Broadway
Newport, RI 02840
Phone (401) 207-1073
195 Broadway
Newport, RI 02840
Phone (401) 486-7089
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": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1013065366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "493 BROADWAY",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028401759",
"telephone_number": "401-486-7089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 BROADWAY",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028402610",
"telephone_number": "401-486-7089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHEU",
"first_name": "MELISSA",
"credential": "MS, RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "RI",
"license": "LDN00559",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-BLUECHIP",
"identifier": "413226",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "31814-3",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "31808",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH",
"identifier": "002683999",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.