Melissa N Melton, RDN

Individual provider Active NPI Registered Dietitian · Winfield, MO

NPI 1073197356 · NPPES record last updated May 12, 2021

Key facts

NPI
1073197356
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
86100680 (MO)
Practice address
395 Winchester Way
Winfield, MO 63389-2322
Phone
(636) 448-5376
NPI assigned
May 12, 2021
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
86100680MOMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MO
Registered Dietitian 133V00000X 86100680 MO Yes

Addresses

Primary practice location

395 Winchester Way
Winfield, MO 63389-2322

Mailing address

395 Winchester Way
Winfield, MO 63389-2322
Phone (636) 448-5376

Other providers in Winfield, MO

All providers in Winfield, MO · Registered Dietitian in Missouri

Sources for this page

Verify at the official NPI Registry.