Organization Active NPI

McMrd, LLC

  • Registered Dietitian
  • Saint Louis, MO
National Provider Identifier
1255003380
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
MCMRD, LLC
Practice address
10805 Sunset Office Dr Ste 300
Saint Louis, MO 63127-1027
Phone
(314) 470-4422
NPI assigned
Sep 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Melinda Musselman, RDNNPI 1811274681
Title
Lead RDN
Phone
(314) 470-4422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

10805 Sunset Office Dr Ste 300
Saint Louis, MO 63127-1027

Mailing address

11511 Cragwold Rd
Saint Louis, MO 63122-7013
Phone (314) 470-4422

Other practice location 1

11511 Cragwold Rd
Saint Louis, MO 63122-7013
Phone (816) 536-4236

Other practice location 2

10825 Watson Rd Ste 100
Saint Louis, MO 63127-1043
Phone (314) 470-4422

Other identifiers 2

IdentifierTypeStateIssuer
1811274681OtherILBCBS
1811274681MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211206000642 MO Part B Supplier - Clinic/Group Practice 0749670883 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1255003380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 CRAGWOLD RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631227013",
            "telephone_number": "314-470-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10805 SUNSET OFFICE DR STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271027",
            "telephone_number": "314-470-4422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11511 Cragwold Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631227013",
            "country_code": "US",
            "telephone_number": "816-536-4236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10825 Watson Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631271043",
            "country_code": "US",
            "telephone_number": "314-470-4422",
            "fax_number": "877-826-7969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCMRD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "MUSSELMAN",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "LEAD RDN",
        "authorized_official_telephone_number": "314-470-4422",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1811274681",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811274681",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.