Active NPI
Melissa R Timonere, LD/N
- Registered Dietitian
- Jacksonville, FL
National Provider Identifier
1336187756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND4790
- Practice address
- 465 Acme St
Jacksonville, FL 32211-7961 - Phone
- (904) 727-6549
- Fax
- (904) 727-3793
- NPI assigned
- Jun 4, 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 | ND4790 | FL | Primary |
Addresses
Primary practice location
465 Acme St
Jacksonville, FL 32211-7961
Mailing address
515 W 6TH St
MC #24
Jacksonville, FL 32206-4324
Phone (904) 665-2410
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 |
|---|---|---|---|
| ND4790 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1336187756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 W 6TH ST",
"address_2": "MC #24",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322064324",
"telephone_number": "904-665-2410",
"fax_number": "904-630-3316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 ACME ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322117961",
"telephone_number": "904-727-6549",
"fax_number": "904-727-3793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMONERE",
"first_name": "MELISSA",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "LD/N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2026-07-13",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND4790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.