Individual provider Active NPI

Melita Wiedenman, M.S., R.D., L.N.

  • Registered Dietitian
  • Huron, SD
National Provider Identifier
1033356977
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0035 Issued in SD
Practice address
1929 Eilers CT
Huron, SD 57350-3846
Phone
(605) 352-9034
Fax
(605) 352-9034
NPI assigned
Jan 14, 2009
Last updated
Jan 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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 0035 SD Primary

Addresses

Primary practice location

1929 Eilers CT
Huron, SD 57350-3846

Mailing address

1929 Eilers CT
Huron, SD 57350-3846
Phone (605) 352-9034

Other names 1

  • Melita Wilber Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0035SDMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231891200000",
    "number": "1033356977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 EILERS CT",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573503846",
            "telephone_number": "605-352-9034",
            "fax_number": "605-352-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 EILERS CT",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573503846",
            "telephone_number": "605-352-9034",
            "fax_number": "605-352-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDENMAN",
        "first_name": "MELITA",
        "credential": "M.S., R.D., L.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SD",
            "license": "0035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELITA",
            "last_name": "WILBER",
            "credential": "M.S., R.D., L.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huron, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.