Melissa Sullivan, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

460 Polaris Pkwy Ste 200
Westerville, OH 43082-8213

Phone

(614) 865-6401

Fax

(614) 865-3259

NPI assigned

Jul 16, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Heart of Ohio Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1275714289
  Medicare reassignment NPD
• Heart of Ohio Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Westerville, OH
  • NPI 1255041190
  NPD

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1316839368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 POLARIS PKWY STE 200",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828213",
            "telephone_number": "614-865-6401",
            "fax_number": "614-865-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 POLARIS PKWY STE 200",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828213",
            "telephone_number": "614-865-6401",
            "fax_number": "614-865-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MELISSA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-16",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andy Suh, DMD
• Steven Hwan Suh, M.D.
• Conor Sullivan
• Edward Mark Sullivan, MSW, LISW-S
• Jenna Sullivan
• Iris Leyretana Sumatra, MA
• Nicole Elizabeth Summers, LISW
• Summerville at Outlook Manor, LLC
• Morgan Rashelle Sumner, OTR
• Rachel Sunday, PHARMD

• Registered Dietitian in Westerville, OH
• Providers in Westerville, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.