Melissa Wilbur

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

684 Issued in WV

Practice address

122 12TH St
Princeton, WV 24740-2312

Phone

(304) 487-7000

NPI assigned

Jun 14, 2024

Last updated

Jun 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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 WV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Princeton Community Hospital Assn Inc.

  dba Mercer Medical Group

  • Urology Physician
  • Princeton, WV
  • NPI 1093917643
  Medicare reassignment NPD
• Princeton Community Hospital Assn., Inc

  dba Bluefield Internal Medicine

  • Rural Health Clinic/Center
  • Bluefield, VA
  • NPI 1235446485
  NPD
• Princeton Community Hospital Assn. Inc.

  dba PCH Behavioral Health Center

  • Psychiatric Hospital Unit
  • Bluefield, WV
  • NPI 1619053329
  NPD (past)

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1346083680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 12TH ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402312",
            "telephone_number": "304-487-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 12TH ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402312",
            "telephone_number": "304-487-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBUR",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WV",
            "license": "684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie J White, BSW, LSW
• Brandon Harold Whitehouse, PRSS
• Beverly L Whitt, CFNP
• Pamela S. Whitt, ADSC
• David Widener
• Carolyn Wiley
• Selena Wiley
• Sophia D Wilkins
• Chris Williams, PR
• Destiny Williams, LMT

• Registered Dietitian in Princeton, WV
• Providers in Princeton, WV by specialty
• Registered Dietitian in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.

Verify at the official NPI Registry.