Individual provider Active NPI

Donelle H Messih, RD

  • Renal Nutrition Registered Dietitian
  • Bishop, CA
National Provider Identifier
1497965479
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
864322 Issued in CA
Practice address
52 N Tu Su LN
Bishop, CA 93514-8058
Phone
(760) 872-2622
Fax
(760) 873-7601
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X 864322 CA Primary

Addresses

Primary practice location

52 N Tu Su LN
Bishop, CA 93514-8058

Mailing address

3561 Ranch View LN
Bishop, CA 93514-2132
Phone (760) 872-4204

Other identifiers 1

IdentifierTypeStateIssuer
864322OtherCALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051122000698 CA Practitioner - Registered Dietitian Or Nutrition Professional 6608896402 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Toiyabe Indian Health Project, Inc CurrentSince Jul 9, 2015 Accepting new patients
Toiyabe Indian Health Project, Inc CurrentSince Jul 9, 2015 Accepting new patients

Locations

52 N Tu Su Ln
Bishop, CA 93514
Phone (760) 873-8461

250 N See Vee Ln
Bishop, CA 93514
Phone (760) 873-8461

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: donelle.messih.p1@direct.toiyabe.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497965479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3561 RANCH VIEW LN",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142132",
            "telephone_number": "760-872-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 N TU SU LN",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935148058",
            "telephone_number": "760-872-2622",
            "fax_number": "760-873-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSIH",
        "first_name": "DONELLE",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "CA",
            "license": "864322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "864322",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bishop, CA

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.
  • 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.