Melody Bojang, MFCS, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2012030061 Issued in MO

Practice address

210 S McLean Blvd
1
Memphis, TN 38104-6161

Phone

(919) 455-5585

NPI assigned

Jul 5, 2011

Last updated

Oct 12, 2017By 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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dallas County Hospital District

  dba Physician and Other Providers

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1649278995
  Medicare reassignment
• Roger O. Gibson MD PC

  • Internal Medicine Physician
  • Cordova, TN
  • NPI 1386836062
  NPD
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1598052078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 BRIDLEWOOD LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380163534",
            "telephone_number": "919-455-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S MCLEAN BLVD",
            "address_2": "1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046161",
            "telephone_number": "919-455-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOJANG",
        "first_name": "MELODY",
        "credential": "MFCS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2012030061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Boggs, MD
• Kevin Douglas Bohannon, CRNA
• Shiva Bohn, MD
• Leah Boice, MFT
• Ruby Boisclair
• Matthew James Bokamper, MD
• Geniese Tress Bolden, RDN
• Heather Lee Bolden
• James Melvin Bolden Jr., RN
• Tamika J Bolden, APN

• Registered Dietitian in Memphis, TN
• Providers in Memphis, TN by specialty
• Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.