Melissa Anne Verdi, MS, RDN, CDN, CDCES

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

0064931 Issued in NY

Practice address

9097 Main St
Clarence, NY 14031-1965

Phone

(716) 222-0297

Fax

(716) 794-9466

NPI assigned

May 14, 2008

Last updated

Jun 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Anne Waldorf Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifestyle Nutrition Wny PLLCGroup PAC ID 7911283924, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Lifestyle Nutrition Wny, PLLC

  • Registered Dietitian
  • Niagara Falls, NY
  • NPI 1346794310
  Medicare reassignment Care Compare group
• Nephrology Associates of Western New York, LLP

  • Nephrology Physician
  • Amherst, NY
  • NPI 1063530053

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1568639813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 KELLY ANN DR",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140861413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9097 MAIN ST",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140311965",
            "telephone_number": "716-222-0297",
            "fax_number": "716-794-9466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Red Tail Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141271599",
            "country_code": "US",
            "telephone_number": "716-222-0297",
            "fax_number": "716-794-9466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1306 Sweet Home Rd",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142282792",
            "country_code": "US",
            "telephone_number": "716-222-0297",
            "fax_number": "716-794-9466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERDI",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MS, RDN, CDN, CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "0064931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "WALDORF",
            "middle_name": "ANNE",
            "credential": "MS, RD, CDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra Maria Ticen, MS, LCAT, CAS
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• Carmine L Tiso, DDS
• Joann Vattimo
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2355)
• Walgreen Co (Walgreens #11142)
• Francesca Walker, PA-C
• Ryan William Weber, D.O.
• David Andrew Willert, LMHC-P

• Registered Dietitian in Clarence, NY
• Providers in Clarence, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.