Individual provider Active NPI

Melissa Weiss, RDN

  • Registered Dietitian
  • Bend, OR
National Provider Identifier
1619625332
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86242436
Practice address
361 NE Franklin Ave BLDG C
Bend, OR 97701-4917
Phone
(248) 909-1301
NPI assigned
Mar 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86242436 Primary

Addresses

Primary practice location

361 NE Franklin Ave BLDG C
Bend, OR 97701-4917

Mailing address

361 NE Franklin Ave BLDG C
Bend, OR 97701-4917

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissa@synergyhealthbend.com Synergy Health and Wellness,LLC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250121002928 VT Practitioner - Registered Dietitian Or Nutrition Professional 2466981410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
No Diet Dietitian LLCGroup PAC ID 9739544818, 17 clinicians

Practice addresses (Care Compare)

Burlington, VT 05401
Phone (802) 222-6907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
No Diet Dietitian, LLC Dietitian, Registered CurrentSince Dec 19, 2024 Accepting new patients

Organizations & group practices 1

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": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1619625332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 NE FRANKLIN AVE BLDG C",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 NE FRANKLIN AVE BLDG C",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014917",
            "telephone_number": "248-909-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "MELISSA",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86242436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa@synergyhealthbend.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Synergy Health and Wellness,LLC",
            "address_1": "361 NE Franklin Ave Bldg C",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977014917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.