Active NPI
Melissa Yuen-Ting Dupuis, MS, RD, CSR
- Registered Dietitian
- Rancho Cordova, CA
National Provider Identifier
1245798164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86031120
- Practice address
- 3071 Gold Canal Dr
Rancho Cordova, CA 95670-6129 - Phone
- (916) 638-8429
- NPI assigned
- Mar 10, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 86031120 | CA | Primary |
Addresses
Primary practice location
3071 Gold Canal Dr
Rancho Cordova, CA 95670-6129
Mailing address
2621 Firebrand LN
Rocklin, CA 95765-5674
Phone (209) 815-8205
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86031120 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552176000000",
"number": "1245798164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 FIREBRAND LN",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957655674",
"telephone_number": "209-815-8205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3071 GOLD CANAL DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956706129",
"telephone_number": "916-638-8429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPUIS",
"first_name": "MELISSA",
"middle_name": "YUEN-TING",
"credential": "MS, RD, CSR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-10",
"last_updated": "2019-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86031120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cordova, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.