Active NPI
Melinda Moyer Roberts, MS, RDN, LDN, CHC
- Registered Dietitian
- East Norriton, PA
National Provider Identifier
1083245864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN003530
- Practice address
- 609 W Germantown Pike BLDG Suite140
East Norriton, PA 19403-4243 - Phone
- (484) 622-7706
- NPI assigned
- Jan 30, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D01377 | MD | |
| Registered Dietitian | 133V00000X | DN003530 | PA | Primary |
Addresses
Primary practice location
609 W Germantown Pike BLDG Suite140
East Norriton, PA 19403-4243
Mailing address
806 Kenmara Dr
West Chester, PA 19380-2022
Phone (484) 356-8784
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 |
|---|---|---|---|
| D01377 | MD | MD | Registered Dietitian |
| DN003530 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Einstein Practice Plan Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Surgery Physician
- Philadelphia, PA
- NPI 1992761621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1083245864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 KENMARA DR",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193802022",
"telephone_number": "484-356-8784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 W GERMANTOWN PIKE BLDG SUITE140",
"city": "EAST NORRITON",
"state": "PA",
"postal_code": "194034243",
"telephone_number": "484-622-7706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "MELINDA",
"middle_name": "MOYER",
"credential": "MS, RDN, LDN, CHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-30",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "D01377",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN003530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Norriton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.