Active NPI
Melissa Ruth Brannon, R.D., L.D.N.
- Registered Dietitian
- Defuniak Springs, FL
National Provider Identifier
1184670895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND4777
- Practice address
- 1531 Coy Burgess Loop
Defuniak Springs, FL 32435-6358 - Phone
- (850) 865-8260
- NPI assigned
- May 25, 2006
- Last updated
- Aug 31, 2025
- 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 | ND4777 | FL | Primary |
Addresses
Primary practice location
1531 Coy Burgess Loop
Defuniak Springs, FL 32435-6358
Mailing address
1531 Coy Burgess Loop
Defuniak Springs, FL 32435-6358
Phone (850) 865-8260
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND4777 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756598400000",
"number": "1184670895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1531 COY BURGESS LOOP",
"city": "DEFUNIAK SPRINGS",
"state": "FL",
"postal_code": "324356358",
"telephone_number": "850-865-8260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1531 COY BURGESS LOOP",
"city": "DEFUNIAK SPRINGS",
"state": "FL",
"postal_code": "324356358",
"telephone_number": "850-865-8260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANNON",
"first_name": "MELISSA",
"middle_name": "RUTH",
"credential": "R.D., L.D.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2025-08-31",
"certification_date": "2025-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND4777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Defuniak Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.