Active NPI
Melovee Porter
- Registered Dietitian
- Ballston Lake, NY
National Provider Identifier
1619862117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 012102-01
- Practice address
- 20 Gretel Ter
Ballston Lake, NY 12019-2221 - Phone
- (518) 982-8724
- NPI assigned
- Jun 12, 2025
- Last updated
- Jun 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 012102-01 | NY | Primary |
Addresses
Primary practice location
20 Gretel Ter
Ballston Lake, NY 12019-2221
Mailing address
20 Gretel Ter
Ballston Lake, NY 12019-2221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2217 Park Bend Dr
Suite 300
Austin, TX 78758-5072
3400 Douglas Blvd
Suite 170
Roseville, CA 95661-4278
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012102-01 | NY | MD | Registered Dietitian |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba TeleMed2U
- Emergency Medicine Physician
- Roseville, CA
- NPI 1326338237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749686400000",
"number": "1619862117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 GRETEL TER",
"city": "BALLSTON LAKE",
"state": "NY",
"postal_code": "120192221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 GRETEL TER",
"city": "BALLSTON LAKE",
"state": "NY",
"postal_code": "120192221",
"telephone_number": "518-982-8724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "MELOVEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-12",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "012102-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ballston Lake, NY
- Parker Therapy Services LCSW, PLLC (Parker Psychological Services)
- Holly Elizabeth Parker, LCSW
- Katelyn Perkins
- David Brooks Pierce, DDS
- Poppy Physical Therapy LLC
- Bernard P Possidente, D.O.
- Darcy M Powell, CCC-SLP
- Kelly Jo Premo, M.S. CCC SLP
- QC-Medi New York, Inc. (CenterWell Home Health)
- Quality Care Optician Services, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.