Active NPI
Melissa L Lobianco, MS RD LD
- Registered Dietitian
- Waco, TX
National Provider Identifier
1376304121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT87880
- Practice address
- 100 Hillcrest Medical Blvd
Waco, TX 76712-8897 - Phone
- (254) 202-3959
- NPI assigned
- Jan 18, 2024
- 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 | DT87880 | TX | Primary |
Addresses
Primary practice location
100 Hillcrest Medical Blvd
Waco, TX 76712-8897
Mailing address
502 Cherokee Dr
Temple, TX 76504-3630
Phone (732) 552-4336
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT87880 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1376304121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 CHEROKEE DR",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765043630",
"telephone_number": "732-552-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HILLCREST MEDICAL BLVD",
"city": "WACO",
"state": "TX",
"postal_code": "767128897",
"telephone_number": "254-202-3959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOBIANCO",
"first_name": "MELISSA",
"middle_name": "L",
"credential": "MS RD LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-18",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT87880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.