Active NPI
Melissa K Naff, RD
- Registered Dietitian
- Pendleton, OR
National Provider Identifier
1295764371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDD001026
- Practice address
- 1601 SE Court Ave
Pendleton, OR 97801-3217 - Phone
- (541) 276-5121
- Fax
- (541) 966-0504
- NPI assigned
- Jul 1, 2006
- 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 | LDD001026 | OR | Primary |
Addresses
Primary practice location
1601 SE Court Ave
Pendleton, OR 97801-3217
Mailing address
1601 SE Court Ave
Pendleton, OR 97801-3217
Phone (541) 276-5121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8369456 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDD001026 | OR | MD | Registered Dietitian |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Pendleton, OR
- NPI 1831169903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364342400000",
"number": "1295764371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 SE COURT AVE",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978013217",
"telephone_number": "541-276-5121",
"fax_number": "541-966-0504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 SE COURT AVE",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978013217",
"telephone_number": "541-276-5121",
"fax_number": "541-966-0504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAFF",
"first_name": "MELISSA",
"middle_name": "K",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-01",
"last_updated": "2013-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "LDD001026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8369456",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pendleton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.