Active NPI
Melanie Heazel, RDN
- Registered Dietitian
- Baltimore, MD
National Provider Identifier
1265932347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86051489
- Practice address
- 419 W Redwood St Ste 300
Baltimore, MD 21201-7003 - Phone
- (410) 328-8940
- Fax
- (410) 328-8997
- NPI assigned
- Feb 15, 2018
- 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 | 86051489 | MD | Primary |
Addresses
Primary practice location
419 W Redwood St Ste 300
Baltimore, MD 21201-7003
Mailing address
PO Box 64226
Baltimore, MD 21264-4226
Phone (667) 214-1720
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 |
|---|---|---|---|
| 86051489 | MD | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518652800000",
"number": "1265932347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64226",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644226",
"telephone_number": "667-214-1720",
"fax_number": "410-706-6976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 W REDWOOD ST STE 300",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212017003",
"telephone_number": "410-328-8940",
"fax_number": "410-328-8997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAZEL",
"first_name": "MELANIE",
"name_prefix": "Ms.",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-15",
"last_updated": "2018-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "86051489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
- Heavenly Grace Assistant Living Facility, Inc
- Heavenly Home Healthcare Services
- Heavens Hearts Healing & Support Services
- Heavens Place-Outpatient Detox & Recovery Center
- Courtney Heavner
- John Hopewell Hebb III, MD
- Nancy D Hebb, LCSW-C
- Kellie Elizabeth Hebbel, CRNP
- Lisa Marie Hebel, PHYSICAL THERAPIST
- Tara Hebert, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.