Active NPI
Melanie P Jones, RD, CSO, LDN
- Obesity and Weight Management Nutrition Registered Dietitian
- Charlotte, NC
National Provider Identifier
1699426890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity and Weight Management Nutrition Registered Dietitian
- License
- L005770
- Practice address
- 301 McCullough Dr Ste 400
Charlotte, NC 28262-1336 - Phone
- (980) 296-0044
- Fax
- (404) 561-5456
- NPI assigned
- Jan 10, 2022
- Last updated
- Jan 11, 2022
- 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 |
|---|---|---|---|---|
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | L005770 | NC | Primary |
| Oncology Nutrition Registered Dietitian | 133VN1301X | L005770 | NC |
Addresses
Primary practice location
301 McCullough Dr Ste 400
Charlotte, NC 28262-1336
Mailing address
8503 Case Ridge Dr
Oak Ridge, NC 27310-9684
Phone (336) 708-0640
Other practice location 1
8503 Case Ridge Dr
Oak Ridge, NC 27310-9684
Phone (336) 708-0640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220505000715 | NC | Practitioner - Registered Dietitian Or Nutrition Professional | 5991192254 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1699426890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8503 CASE RIDGE DR",
"city": "OAK RIDGE",
"state": "NC",
"postal_code": "273109684",
"telephone_number": "336-708-0640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MCCULLOUGH DR STE 400",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282621336",
"telephone_number": "980-296-0044",
"fax_number": "404-561-5456"
}
],
"practiceLocations": [
{
"address_1": "8503 Case Ridge Dr",
"address_purpose": "LOCATION",
"city": "Oak Ridge",
"state": "NC",
"postal_code": "273109684",
"country_code": "US",
"telephone_number": "336-708-0640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "MELANIE",
"middle_name": "P",
"credential": "RD, CSO, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-10",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "NC",
"license": "L005770",
"primary": true
},
{
"code": "133VN1301X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Oncology",
"state": "NC",
"license": "L005770",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.