Individual provider Active NPI

Melanie Tracy MC Cann, RD

  • Renal Nutrition Registered Dietitian
  • Bakersfield, CA
National Provider Identifier
1558468637
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
520252 Issued in CA
Practice address
5030 Office Park Drive
Suite a
Bakersfield, CA 93309-0612
Phone
(661) 323-2847
Fax
(661) 323-0566
NPI assigned
Sep 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 520252 CA Primary

Addresses

Primary practice location

5030 Office Park Drive
Suite a
Bakersfield, CA 93309-0612

Mailing address

5030 Office Park Drive
Suite a
Bakersfield, CA 90039-0612
Phone (661) 323-2847

Other identifiers 1

IdentifierTypeStateIssuer
520252OtherCDR

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
520252CAMDRenal Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Central Nephrology Medical GRP Inc Past Accepting new patients
Kern Nephrology Medical Group PastSince Apr 1, 2020 Accepting new patients

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558468637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 OFFICE PARK DRIVE",
            "address_2": "SUITE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "900390612",
            "telephone_number": "661-323-2847",
            "fax_number": "661-323-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 OFFICE PARK DRIVE",
            "address_2": "SUITE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090612",
            "telephone_number": "661-323-2847",
            "fax_number": "661-323-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MC CANN",
        "first_name": "MELANIE",
        "middle_name": "TRACY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "CA",
            "license": "520252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDR",
            "identifier": "520252",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.