Individual provider Active NPI

Melanie R Silverman, MS, RD, IBCLC

  • Registered Dietitian
  • Laguna Beach, CA
National Provider Identifier
1144699737
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
836825 Issued in CA
Practice address
3060 Alta Laguna Blvd
Laguna Beach, CA 92651-2064
Phone
(949) 607-8248
Fax
(949) 272-2365
NPI assigned
Sep 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 836825 CA Primary
Lactation Consultant (Non-RN) 174N00000X L-32076 CA

Addresses

Primary practice location

3060 Alta Laguna Blvd
Laguna Beach, CA 92651-2064

Mailing address

3060 Alta Laguna Blvd
Laguna Beach, CA 92651-2064
Phone (949) 607-8248

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
836825CAMDRegistered Dietitian
L-32076CAMDLactation Consultant (Non-RN)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1144699737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 ALTA LAGUNA BLVD",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512064",
            "telephone_number": "949-607-8248",
            "fax_number": "949-272-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 ALTA LAGUNA BLVD",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512064",
            "telephone_number": "949-607-8248",
            "fax_number": "949-272-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERMAN",
        "first_name": "MELANIE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "836825",
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "L-32076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.