Melissa Maxwell, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86032979 Issued in TX

Practice address

4801 Frankford Rd Ste 300
Dallas, TX 75287-5329

Phone

(214) 390-3259

NPI assigned

Sep 25, 2018

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

Other names 1

• Melissa Stack Former name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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 and National Provider Directory roles.

• BSH Health PA

  • Registered Dietitian
  • New York, NY
  • NPI 1679303465

  AL, Dietitian, Registered

  Medicare reassignment NPD
• Curis Functional Health

  • Chiropractor
  • Dallas, TX
  • NPI 1023508116

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1497239529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 FRANKFORD RD STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752875329",
            "telephone_number": "214-390-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 FRANKFORD RD STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752875329",
            "telephone_number": "214-390-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "MELISSA",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "86032979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "STACK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine Elizabeth Maxwell
• Daniel Maxwell, M.D.
• David Roketha Maxwell, D.D.S.
• Jenny Maxwell, NP
• Megan Gentry Maxwell, M.D.
• Shirley Maxwell
• So-Van Ho Maxwell
• Laura May-Roelse
• Christopher May, LPC
• Emily May, B.A., RBT

• Registered Dietitian in Dallas, TX
• Providers in Dallas, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.