Active NPI
Melinda Walters, RD
- Renal Nutrition Registered Dietitian
- St George, UT
National Provider Identifier
1043532146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 4890304-4901
- Practice address
- 3641 S 2640 E
Saint George, UT 84790-4978 - Phone
- (801) 372-6712
- NPI assigned
- Feb 17, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | 4890304-4901 | UT | Primary |
Addresses
Primary practice location
3641 S 2640 E
Saint George, UT 84790-4978
Mailing address
3641 S 2640 E
Saint George, UT 84790-4978
Phone (801) 372-6712
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1043532146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3641 S 2640 E",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847904978",
"telephone_number": "801-372-6712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3641 S 2640 E",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847904978",
"telephone_number": "801-372-6712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "MELINDA",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-17",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "UT",
"license": "4890304-4901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.