Active NPI
Johanna Kathryn Melchiore, R.D.
- Registered Dietitian
- Presque Isle, ME
National Provider Identifier
1457432288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI195
- Practice address
- 140 Academy St
Presque Isle, ME 04769-3102 - Phone
- (207) 768-4000
- Fax
- (207) 768-4373
- NPI assigned
- Oct 18, 2006
- Last updated
- Jul 8, 2007
- 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 | DI195 | ME | Primary |
Addresses
Primary practice location
140 Academy St
Presque Isle, ME 04769-3102
Mailing address
Box 449
La Ronge, SASKATCHEWAN SOJ 1LO
CA
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI195 | ME | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457432288",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "BOX 449",
"city": "LA RONGE",
"state": "SASKATCHEWAN",
"postal_code": "SOJ 1LO"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 ACADEMY ST",
"city": "PRESQUE ISLE",
"state": "ME",
"postal_code": "047693102",
"telephone_number": "207-768-4000",
"fax_number": "207-768-4373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELCHIORE",
"first_name": "JOHANNA",
"middle_name": "KATHRYN",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ME",
"license": "DI195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Presque Isle, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.