Melanie Ann Sobolewski, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3701 Issued in MN

Practice address

2029 Pheasant Run St
Shakopee, MN 55379-4353

Phone

(608) 792-2585

NPI assigned

Jul 22, 2016

Last updated

Mar 9, 2021By 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 MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Necessary Nutrition LLC

  • Registered Dietitian
  • Eden Prairie, MN
  • NPI 1952992984

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Emily Program P C

  dba The Emily Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Paul, MN
  • NPI 1528165065
  Medicare reassignment NPD

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1447603667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 PHEASANT RUN ST",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794353",
            "telephone_number": "608-792-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 PHEASANT RUN ST",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794353",
            "telephone_number": "608-792-2585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1449 Cleveland Ave N",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551081413",
            "country_code": "US",
            "telephone_number": "651-645-5323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOBOLEWSKI",
        "first_name": "MELANIE",
        "middle_name": "ANN",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "3701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Stacy Smith, PSY.D.,LP
• Sydney Smith
• Amelia Sneve, DO
• Daniel L Snyder, PSYD., LP
• Snyders Drug (Snyder Drug Emporium)
• Wosilat Abosede Soboyede
• Celina Chandavy Soeun
• Sokha Assisted Living, LLC (Sokha Assisted Living)
• Morgan Solie
• Payton Somerville

• Registered Dietitian in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.