Active NPI
Melissa Lynn Dols, RD, LD, CDE
- Registered Dietitian
- Paynesville, MN
National Provider Identifier
1144288754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2264
- Practice address
- 200 W 1St St
Paynesville, MN 56362 - Phone
- (320) 243-7713
- Fax
- (320) 243-6707
- NPI assigned
- May 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 2264 | MN | Primary |
Addresses
Primary practice location
200 W 1St St
Paynesville, MN 56362
Mailing address
217 8TH Ave S
Cold Spring, MN 56320
Phone (320) 493-4039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040604000026 | MN | Practitioner - Registered Dietitian Or Nutrition Professional | 7719969641 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2264 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Health-Paynesville LLC | Current | Accepting new patients |
Locations
200 W 1st St
Paynesville, MN 56362
Phone (320) 243-3767
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120
Organizations & group practices 3
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": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1144288754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 8TH AVE S",
"city": "COLD SPRING",
"state": "MN",
"postal_code": "56320",
"telephone_number": "320-493-4039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W 1ST ST",
"city": "PAYNESVILLE",
"state": "MN",
"postal_code": "56362",
"telephone_number": "320-243-7713",
"fax_number": "320-243-6707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLS",
"first_name": "MELISSA",
"middle_name": "LYNN",
"credential": "RD, LD, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "2264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paynesville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.