Active NPI
Melissa Kate Dukquits
- Metabolic Nutrition Registered Dietitian
- Statesboro, GA
National Provider Identifier
1083110720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- LD004646
- Practice address
- 116 Savannah Ave
Statesboro, GA 30458-4801 - Phone
- (912) 243-9200
- Fax
- (912) 243-9207
- NPI assigned
- Apr 2, 2018
- 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 |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | LD004646 | GA | Primary |
Addresses
Primary practice location
116 Savannah Ave
Statesboro, GA 30458-4801
Mailing address
116 Savannah Ave
Statesboro, GA 30458-4801
Phone (912) 243-9200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD004646 | GA | MD | Metabolic Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522627200000",
"number": "1083110720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 SAVANNAH AVE",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304584801",
"telephone_number": "912-243-9200",
"fax_number": "912-243-9207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 SAVANNAH AVE",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304584801",
"telephone_number": "912-243-9200",
"fax_number": "912-243-9207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKQUITS",
"first_name": "MELISSA",
"middle_name": "KATE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-02",
"last_updated": "2018-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "GA",
"license": "LD004646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Statesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.