Melinda Boyd, RD

Individual provider Active NPI Registered Dietitian · Ellsworth Afb, SD

NPI 1689072340 · NPPES record last updated Dec 12, 2019

Key facts

NPI
1689072340
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
Practice address
2900 Doolittle Dr
Ellsworth Afb, SD 57706-4821
Phone
(605) 385-6700
NPI assigned
Dec 11, 2014
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
The Play Hut PLLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Yes

Addresses

Primary practice location

2900 Doolittle Dr
Ellsworth Afb, SD 57706-4821

Mailing address

2900 Doolittle Dr
Ellsworth Afb, SD 57706-4821
Phone (605) 385-6700

Other practice location 1

Psc 76 Box 2628
Apo, AP 96319-0005
Phone (443) 982-5979

Other providers in Ellsworth Afb, SD

All providers in Ellsworth Afb, SD · Registered Dietitian in South Dakota

Sources for this page

Verify at the official NPI Registry.