Melissa Takach

Primary specialty

Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X

License

1014501 Issued in SC

Practice address

450 Treasure Island Cswy Apt 304
Treasure Island, FL 33706-1137

Phone

(803) 521-1154

NPI assigned

Oct 31, 2024

Last updated

Oct 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Florida Health Sciences Center IncGroup PAC ID 1759277841, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Health Sciences Center Inc

  dba Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1235196510
  Medicare reassignment Care Compare group NPD
• Tampa General Medical Group Inc

  dba TGMG Lois

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1164769063
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1699597443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 TREASURE ISLAND CSWY APT 304",
            "city": "TREASURE ISLAND",
            "state": "FL",
            "postal_code": "337061137",
            "telephone_number": "803-521-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 TREASURE ISLAND CSWY APT 304",
            "city": "TREASURE ISLAND",
            "state": "FL",
            "postal_code": "337061137",
            "telephone_number": "803-521-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKACH",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "SC",
            "license": "1014501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier St. Petersburg
• April Primous, FNP-C
• Megan Marie Ray
• Vanessa Kathleen Shields, D.C.
• Charles David Smithdeal, M.D.
• Toddler Talk, Inc.
• Tuan Minh Tran, PHARMD
• Hediye Mahmure Turan
• Walgreen Co (Walgreens #02761)
• Jeffrey Scott Walker, M.D.

• Obesity and Weight Management Nutrition Registered Dietitian in Treasure Island, FL
• Providers in Treasure Island, FL by specialty
• Obesity and Weight Management Nutrition Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.