Individual provider Active NPI

Melissa Mendez, RD/LD

  • Registered Dietitian
  • Plano, TX
National Provider Identifier
1013349059
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT82752 Issued in TX
Practice address
400 Chisholm PL Ste 100
Plano, TX 75075-6911
Phone
(972) 422-9180
Fax
(888) 821-2292
NPI assigned
Aug 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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 DT82752 TX Primary

Addresses

Primary practice location

400 Chisholm PL Ste 100
Plano, TX 75075-6911

Mailing address

400 Chisholm PL Ste 100
Plano, TX 75075-6911
Phone (972) 422-9180

Other identifiers 1

IdentifierTypeStateIssuer
326774202MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200311000383 TX Practitioner - Registered Dietitian Or Nutrition Professional 5799113460 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas County Hospital DistrictGroup PAC ID 8325934813, 597 clinicians

Practice addresses (Care Compare)

4600 Scyene Rd
Dallas, TX 75210-2219
Phone (214) 266-1200

Merit-based Incentive Payment System (MIPS)

Final score
95.1 of 100Reported as group
Quality
88.97
Promoting interoperability
79
Improvement activities
40
Cost
83.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT82752TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District Current Accepting new patients
Nutriphasics, LLC Dietitian, Registered CurrentSince Feb 1, 2020 Accepting new patients
Dallas County Hospital District CurrentSince Sep 1, 2021 Accepting new patients
Dallas County Hospital District CurrentSince Sep 1, 2021 Accepting new patients
Keepcare LLC Dietitian, Registered CurrentSince Jan 1, 2026 Accepting new patients

Locations

5900 Balcones Dr
#17502
Austin, TX 78731
Phone (512) 253-1679

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

400 Chisholm Pl
Ste 100
Plano, TX 75075
Phone (888) 422-8070

700 E Park Blvd
Ste 110
Plano, TX 75074
Phone (972) 422-9180

700 E Park Blvd
Ste 206
Plano, TX 75074
Phone (469) 564-4211

Organizations & group practices 6

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": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1013349059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CHISHOLM PL STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756911",
            "telephone_number": "972-422-9180",
            "fax_number": "888-821-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CHISHOLM PL STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756911",
            "telephone_number": "972-422-9180",
            "fax_number": "888-821-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "RD/LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT82752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326774202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.