Melinda Vinson Rudisill, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

8110 Issued in FL

Practice address

4105 Norfolk Pkwy
West Melbourne, FL 32904-8626

Phone

(321) 750-7226

NPI assigned

May 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: prush@promiseinbrevard.com

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1164044814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 MOUNT CARMEL LN",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329016707",
            "telephone_number": "321-750-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 NORFOLK PKWY",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329048626",
            "telephone_number": "321-750-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDISILL",
        "first_name": "MELINDA",
        "middle_name": "VINSON",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "8110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Prush@promiseinbrevard.com",
            "affiliation": "N",
            "address_1": "4105 Norfolk Pkwy",
            "city": "West Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329048626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sharon Rodriguez
• Catherine Ginger Rogers, LMHC
• George Roque, M.D.
• Alana Ross-Bassene
• Daniel A Rossignol, MD
• Carrie Anne Russo
• Jessica Nichole Ryback
• Hosam Salim
• Salix Behavioral and Wellness Services, LLC
• Robyn McRae Samuels, PHARMD

• Registered Dietitian in West Melbourne, FL
• Providers in West Melbourne, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.

Verify at the official NPI Registry.