Active NPI
Melissa Lavin Burchill, R.D. (REGISTERED DIA
- Registered Dietitian
- New York, NY
National Provider Identifier
1538514146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 605519-1
- Practice address
- 30 East 60TH St. Suite 302
Complete Wellness
New York, NY 10022 - Phone
- (212) 737-9000
- Fax
- (212) 223-5700
- NPI assigned
- May 2, 2016
- 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 | 605519-1 | NY | Primary |
Addresses
Primary practice location
30 East 60TH St. Suite 302
Complete Wellness
New York, NY 10022
Mailing address
30 East 60TH St.
Suite 302
New York, NY 10022
Phone (212) 737-9000
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 |
|---|---|---|---|
| 605519-1 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1538514146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 EAST 60TH ST.",
"address_2": "SUITE 302",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10022",
"telephone_number": "212-737-9000",
"fax_number": "212-223-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 EAST 60TH ST. SUITE 302",
"address_2": "COMPLETE WELLNESS",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10022",
"telephone_number": "212-737-9000",
"fax_number": "212-223-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCHILL",
"first_name": "MELISSA",
"middle_name": "LAVIN",
"name_prefix": "Ms.",
"credential": "R.D. (REGISTERED DIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-02",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "605519-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.