Individual provider Active NPI

Melissa Ann Tolliver, RDN

  • Registered Dietitian
  • Huntsville, AL
National Provider Identifier
1689338998
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2572 Issued in AL
Practice address
7027 Old Madison Pike NW Ste 108
Huntsville, AL 35806-2369
Phone
(256) 617-9568
NPI assigned
Oct 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3791 TN
Registered Dietitian 133V00000X 2572 AL Primary

Addresses

Primary practice location

7027 Old Madison Pike NW Ste 108
Huntsville, AL 35806-2369

Mailing address

144 Kingswood Dr
Huntsville, AL 35806-1299
Phone (256) 617-9568

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211123002410 AL Practitioner - Registered Dietitian Or Nutrition Professional 1153711650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
University of Alabama School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Real Healthy Habits LLCGroup PAC ID 3577998277, 5 clinicians

Practice addresses (Care Compare)

4801 University SQ
Suite 19
Huntsville, AL 35816-1815
Phone (256) 530-6040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3791TNMDGeneral Practice Dentistry
2572ALMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Real Healthy Habits LLC Dietitian, Registered CurrentSince Nov 8, 2021 Accepting new patients

Locations

7027 Old Madison Pike NW
Ste 108
Huntsville, AL 35806
Phone (256) 530-6040

4801 University Sq
Ste 19
Huntsville, AL 35816
Phone (256) 530-6040

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": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1689338998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 KINGSWOOD DR",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358061299",
            "telephone_number": "256-617-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7027 OLD MADISON PIKE NW STE 108",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358062369",
            "telephone_number": "256-617-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLIVER",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "3791",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "2572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.