Individual provider Active NPI

Melissa Maheu, MS, RD, LDN

  • Registered Dietitian
  • Newport, RI
National Provider Identifier
1013065366
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN00559 Issued in RI
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

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
413226OtherRIBCBS-BLUECHIP
31814-3OtherRIBLUE CROSS BLUE SHIELD
31808OtherRINEIGHBORHOOD HEALTH PLAN
002683999OtherRIUNITED HEALTH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
LDN00559RIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Eat to Live Dietitian, Registered CurrentSince Dec 29, 2024 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.

Verify at the official NPI Registry.