Individual provider Active NPI

Melissa Kinstlinger, MS, RD, LDN, CDE

  • Registered Dietitian
  • Reisterstown, MD
National Provider Identifier
1174875041
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
819256 Issued in MD
Practice address
615 Saint Paul Ave
Reisterstown, MD 21136-1851
Phone
(443) 421-6161
NPI assigned
Oct 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 819256 MD
Registered Dietitian 133V00000X 819256 MD Primary
Pediatric Nutrition Registered Dietitian 133VN1004X 819256 MD
Renal Nutrition Registered Dietitian 133VN1005X 819256 MD

Addresses

Primary practice location

615 Saint Paul Ave
Reisterstown, MD 21136-1851

Mailing address

615 Saint Paul Ave
Reisterstown, MD 21136-1851
Phone (443) 421-6161

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
819256MDMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1174875041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 SAINT PAUL AVE",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361851",
            "telephone_number": "443-421-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SAINT PAUL AVE",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361851",
            "telephone_number": "443-421-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSTLINGER",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LDN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "MD",
            "license": "819256",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "819256",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "MD",
            "license": "819256",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "MD",
            "license": "819256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.