Active NPI
Melissa Ann Tolliver, RDN
- Registered Dietitian
- Huntsville, AL
National Provider Identifier
1689338998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2572
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3791 | TN | MD | General Practice Dentistry |
| 2572 | AL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Real Healthy Habits LLC | Dietitian, Registered | Current | 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.