Active NPI
Melissa E. Nieves, LND, RD
- Registered Dietitian
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1383
- Practice address
- Metro Hato Rey Inc. Hospital Pavia
Ave. Ponce de Leon
San Juan, PR 00919-0828 - Phone
- (787) 641-2323
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 1383 | PR | Primary |
Addresses
Primary practice location
Metro Hato Rey Inc. Hospital Pavia
Ave. Ponce de Leon
San Juan, PR 00919-0828
Mailing address
CW-21 Calle 161 Jardines de Country Club
Carolina, PR 00983
Phone (787) 688-5155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2911 Medlin Dr
Arlington, TX 76015-2330
Phone (682) 564-2381
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1383 | PR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Practical Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
2911 Medlin Dr
Arlington, TX 76015
Phone (682) 564-2381
2005 NE Green Oaks Blvd
Ste 150
Arlington, TX 76006
Phone (817) 778-9157
4812 Roberts St
Greenville, TX 75401
Phone (903) 455-1234
555 Republic Dr
Plano, TX 75074
Phone (512) 693-1896
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": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073729778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CW-21 CALLE 161 JARDINES DE COUNTRY CLUB",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00983",
"telephone_number": "787-688-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "METRO HATO REY INC. HOSPITAL PAVIA",
"address_2": "AVE. PONCE DE LEON",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009190828",
"telephone_number": "787-641-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES",
"first_name": "MELISSA",
"middle_name": "E.",
"credential": "LND, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.