Individual provider Active NPI

Melissa E. Nieves, LND, RD

  • Registered Dietitian
  • San Juan, PR
National Provider Identifier
1073729778
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1383 Issued in PR
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

Updated by the provider on Jul 8, 2007

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 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

Enrollment IDStateProvider typePAC IDDetails
I20211223000883 TX Practitioner - Registered Dietitian Or Nutrition Professional 6002917093 Reassigns benefits to 1 organization

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
Practical Nutrition LLCGroup PAC ID 6406181395, 4 clinicians

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

LicenseStateTypeSpecialty
1383PRMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Practical Nutrition LLC Dietitian, Registered CurrentSince Dec 20, 2021 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.

Verify at the official NPI Registry.