Active NPI
Amy Blease Melanson, R.D.
- Registered Dietitian
- Alameda, CA
National Provider Identifier
1649552605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 863256
- Practice address
- 1025 Auburn CT
Alameda, CA 94502-6901 - Phone
- (510) 814-0282
- NPI assigned
- Sep 15, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT80977 | TX | |
| Registered Dietitian | 133V00000X | 863256 | Primary |
Addresses
Primary practice location
1025 Auburn CT
Alameda, CA 94502-6901
Mailing address
1025 Auburn CT
Alameda, CA 94502-6901
Phone (510) 814-0282
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT80977 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1649552605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 AUBURN CT",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945026901",
"telephone_number": "510-814-0282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 AUBURN CT",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945026901",
"telephone_number": "510-814-0282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELANSON",
"first_name": "AMY",
"middle_name": "BLEASE",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-15",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT80977",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "863256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.