Active NPI
Melody Oaks, CN
- Nutrition Education Nutritionist
- Peoria, AZ
National Provider Identifier
1396916029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 501001
- Practice address
- 21731 N 86TH LN
Peoria, AZ 85382-2497 - Phone
- (602) 469-3645
- Fax
- (623) 321-1616
- NPI assigned
- Mar 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 501001 | AZ | Primary |
Addresses
Primary practice location
21731 N 86TH LN
Peoria, AZ 85382-2497
Mailing address
21731 N 86TH LN
Peoria, AZ 85382-2497
Phone (602) 469-3645
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 |
|---|---|---|---|
| 501001 | AZ | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205971200000",
"number": "1396916029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21731 N 86TH LN",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853822497",
"telephone_number": "602-469-3645",
"fax_number": "623-321-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21731 N 86TH LN",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853822497",
"telephone_number": "602-469-3645",
"fax_number": "623-321-1616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OAKS",
"first_name": "MELODY",
"credential": "CN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-20",
"last_updated": "2008-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "AZ",
"license": "501001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
- Amber Starr O'Farrell, FNP-C
- Emma Katherine O'Leary, PA-C
- Sydney O'Rourke
- Sharon Damaris Oaida, DMD
- Robert Lee Oakeson, P.T.
- Oasis Dentistry PLLC (Oasis Dentistry)
- Oasis House Call LLC
- Mark Richard Oblad, DDS
- Jill Marie Obrien, LAC, D.O.M.
- Occupational Health Centers of the Southwest PA (Concentra Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.