Melissa K Lustic-Long, RDN, ATC, CSCS

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

501 E 38TH St
Mac 202
Erie, PA 16546-0002

Phone

(814) 824-2084

NPI assigned

Jun 20, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1013203926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E 38TH ST",
            "address_2": "MAC 202",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165460002",
            "telephone_number": "814-824-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E 38TH ST",
            "address_2": "MAC 202",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165460002",
            "telephone_number": "814-824-2084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Atlantic Christian Col Dr NE",
            "address_2": "c/o Wilson Gymnasium Barton College",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278932505",
            "country_code": "US",
            "telephone_number": "440-339-9357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUSTIC-LONG",
        "first_name": "MELISSA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "RDN, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RTO000423",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Richard Lunn III, DO
• John Alfred Lupo, DC
• Kimberly Lupo
• Robert A Lupo, MD
• Thomas Lupp II
• Suzanne Luteran, CNP-FAMILY
• Lutheran Home for the Aged
• Sandra L Luthringer, R.D.,L.D.N
• Stacey J Lutz-McCain, CRNP
• Luxottica of America Inc

• Registered Dietitian in Erie, PA
• Providers in Erie, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.