Active NPI
Melissa Anne Wesner
- Registered Dietitian
- Havertown, PA
National Provider Identifier
1427497478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN005025
- Practice address
- 69 Fairfield Rd
Havertown, PA 19083-3610 - Phone
- (484) 574-0235
- NPI assigned
- Jun 21, 2013
- Last updated
- Aug 8, 2013
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN005025 | PA | Primary |
Addresses
Primary practice location
69 Fairfield Rd
Havertown, PA 19083-3610
Mailing address
69 Fairfield Rd
Havertown, PA 19083-3610
Phone (484) 574-0235
Other names 1
- Missy Wesner
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 |
|---|---|---|---|
| DN005025 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melissa a. Wesner, Rd, LDN | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1427497478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 FAIRFIELD RD",
"city": "HAVERTOWN",
"state": "PA",
"postal_code": "190833610",
"telephone_number": "484-574-0235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 FAIRFIELD RD",
"city": "HAVERTOWN",
"state": "PA",
"postal_code": "190833610",
"telephone_number": "484-574-0235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESNER",
"first_name": "MELISSA",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-21",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN005025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MISSY",
"last_name": "WESNER",
"credential": "RD, LDN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Havertown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.