Active NPI
Melissa Duke
- Registered Dietitian
- Columbia, TN
National Provider Identifier
1285056564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN0000002447
- Practice address
- 1224 Trotwood Ave
Columbia, TN 38401-4802 - Phone
- (615) 381-1111
- NPI assigned
- Jan 6, 2014
- Last updated
- Jul 8, 2024
- 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 | LDN0000002447 | TN | Primary |
Addresses
Primary practice location
1224 Trotwood Ave
Columbia, TN 38401-4802
Mailing address
1224 Trotwood Ave
Columbia, TN 38401-4802
Phone (615) 381-1111
Other practice location 1
103 Jv Mangubat Dr
Waynesboro, TN 38485-2440
Phone (931) 722-5411
Other practice location 2
1080 N Ellington Pkwy
Lewisburg, TN 37091-2227
Phone (931) 359-6241
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN0000002447 | TN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1285056564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 TROTWOOD AVE",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384014802",
"telephone_number": "615-381-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 TROTWOOD AVE",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384014802",
"telephone_number": "615-381-1111"
}
],
"practiceLocations": [
{
"address_1": "103 Jv Mangubat Dr",
"address_purpose": "LOCATION",
"city": "Waynesboro",
"state": "TN",
"postal_code": "384852440",
"country_code": "US",
"telephone_number": "931-722-5411",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1080 N Ellington Pkwy",
"address_purpose": "LOCATION",
"city": "Lewisburg",
"state": "TN",
"postal_code": "370912227",
"country_code": "US",
"telephone_number": "931-359-6241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUKE",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-06",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "LDN0000002447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.