Active NPI
Melissa Tolan-Halleck, MS RD
- Registered Dietitian
- Saginaw, MI
National Provider Identifier
1043743347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 849950
- Practice address
- 1500 Weiss St
Saginaw, MI 48602-5251 - Phone
- (989) 497-2500
- NPI assigned
- Apr 4, 2017
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 849950 | MI | Primary |
Addresses
Primary practice location
1500 Weiss St
Saginaw, MI 48602-5251
Mailing address
455 S State Ave
Alpena, MI 49707-3839
Phone (231) 620-0963
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
| License | State | Type | Specialty |
|---|---|---|---|
| 849950 | MI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Interoperability endpoints
- melissa.tolan-halleck@335000925634564.direct.elationemr.com
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": "1491264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1043743347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 S STATE AVE",
"city": "ALPENA",
"state": "MI",
"postal_code": "497073839",
"telephone_number": "231-620-0963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 WEISS ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486025251",
"telephone_number": "989-497-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLAN-HALLECK",
"first_name": "MELISSA",
"credential": "MS RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-04",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "849950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.