Melissa Marie Wallinga, DCN, RD, LD

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

D-827 Issued in ID

Practice address

4272 E Westport CT
Meridian, ID 83642-7650

Phone

(712) 540-3072

NPI assigned

Aug 19, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Christina Anderson RDN LLC

  • Registered Dietitian
  • Cheyenne, WY
  • NPI 1851922603
  NPD (past)

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1235538802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 CAPITOL AVE STE 411F",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014569",
            "telephone_number": "712-540-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4272 E WESTPORT CT",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427650",
            "telephone_number": "712-540-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLINGA",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DCN, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "ID",
            "license": "D-827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah B Walker, FNP-C
• Tera Elizabeth Walker
• Zuleikah Walker
• Melissa Wall
• Shanell Wallentine, LPC
• Lindsey Walljasper
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Rick Walsh Jr., OWNER

• Pediatric Nutrition Registered Dietitian in Meridian, ID
• Providers in Meridian, ID by specialty
• Pediatric Nutrition Registered Dietitian in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.