Individual provider Active NPI

Melissa Marriott, RD, LD

  • Registered Dietitian
  • Austin, TX
National Provider Identifier
1477995603
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT92171 Issued in TX
Practice address
2105 East MLK Blvd
#111
Austin, TX 78702
Phone
(512) 309-1650
NPI assigned
Jul 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1357 AR
Registered Dietitian 133V00000X LD 003897 GA
Registered Dietitian 133V00000X 2271 AL
Registered Dietitian 133V00000X 5281 TN
Registered Dietitian 133V00000X ND14382 FL
Registered Dietitian 133V00000X DT92171 TX Primary

Addresses

Primary practice location

2105 East MLK Blvd
#111
Austin, TX 78702

Mailing address

135 Scenic Valley Loop
Maumelle, AR 72113-7066
Phone (501) 762-6418

Other practice location 1

135 Scenic Valley Loop
Maumelle, AR 72113-7066
Phone (501) 762-6418

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

LicenseStateTypeSpecialty
5281TNMDProfessional Counselor
2271ALMDRegistered Dietitian
1357ARMDRegistered Dietitian
ND14382FLMDRegistered Dietitian
LD 003897GAMDRegistered Dietitian
DT92171TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Vedic Nutrition LLC Dietitian, Registered CurrentSince Jun 8, 2025 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

1401 21st St
Ste R
Sacramento, CA 95811
Phone (316) 516-2853

5900 Balcones Dr
Ste 100
Austin, TX 78731

5900 Balcones Dr
#21821
Austin, TX 78731
Phone (512) 309-1650

2105 E Mlk Blvd
Austin, TX 78702
Phone (512) 309-1650

Organizations & group practices 2

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": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1477995603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 SCENIC VALLEY LOOP",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137066",
            "telephone_number": "501-762-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 EAST MLK BLVD",
            "address_2": "#111",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78702",
            "telephone_number": "512-309-1650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Scenic Valley Loop",
            "address_purpose": "LOCATION",
            "city": "Maumelle",
            "state": "AR",
            "postal_code": "721137066",
            "country_code": "US",
            "telephone_number": "501-762-6418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRIOTT",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "1357",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD 003897",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "2271",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "5281",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND14382",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT92171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.