Active NPI
Melissa Yolette Spiers-Ladner, REGISTERED DIETITIAN
- Registered Dietitian
- Gulfport, MS
National Provider Identifier
1316412489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D0449
- Practice address
- 4500 13TH St
Gulfport, MS 39501-2515 - Phone
- (228) 575-2827
- Fax
- (228) 867-5009
- NPI assigned
- Oct 4, 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 | D0449 | MS | Primary |
Addresses
Primary practice location
4500 13TH St
Gulfport, MS 39501-2515
Mailing address
4500 13TH St
Gulfport, MS 39501-2515
Phone (228) 575-2827
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 |
|---|---|---|---|
| D0449 | MS | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538611200000",
"number": "1316412489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 13TH ST",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012515",
"telephone_number": "228-575-2827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 13TH ST",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012515",
"telephone_number": "228-575-2827",
"fax_number": "228-867-5009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIERS-LADNER",
"first_name": "MELISSA",
"middle_name": "YOLETTE",
"credential": "REGISTERED DIETITIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-04",
"last_updated": "2018-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "D0449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gulfport, MS
- Specialized Treatment Facility
- Joseph Spence, LPC
- Lesley Eura Spencer, PHARM D
- Sonya Denise Spencer, D.C.
- Mary Penland Speyrer, N.P.
- Spinal & Neurological Surgery of South Mississippi PLLC
- Spinal & Neurological Surgery of South Ms
- Spinal & Neurological Surgery of South Ms PLLC
- Spine Institute of Mississippi
- Spine Med - Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.