Active NPI
Melinda G Dantin, LDN, RD
- Registered Dietitian
- Thibodaux, LA
National Provider Identifier
1477808236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1763
- Practice address
- 2535 Veterans Blvd
Thibodaux, LA 70301-4363 - Phone
- (985) 447-0921
- Fax
- (985) 447-0897
- NPI assigned
- Jul 18, 2012
- Last updated
- Jul 18, 2012
- 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 | 1763 | LA | Primary |
Addresses
Primary practice location
2535 Veterans Blvd
Thibodaux, LA 70301-4363
Mailing address
393 Sugar Land St
Houma, LA 70364-4463
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 |
|---|---|---|---|
| 1763 | LA | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana Department of Health - Office of Public Health | 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.
-
dba Office of Public Health
- Public Health or Welfare Agency
- Baton Rouge, LA
- NPI 1396316212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342569600000",
"number": "1477808236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 SUGAR LAND ST",
"city": "HOUMA",
"state": "LA",
"postal_code": "703644463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2535 VETERANS BLVD",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014363",
"telephone_number": "985-447-0921",
"fax_number": "985-447-0897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANTIN",
"first_name": "MELINDA",
"middle_name": "G",
"credential": "LDN, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-18",
"last_updated": "2012-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "1763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.