Individual provider Active NPI

Katrina Vantassel Melei, MS, RD, LDN

  • Registered Dietitian
  • Ft Stewart, GA
National Provider Identifier
1720088305
Registry record updated Feb 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
006954-1 Issued in NY
Practice address
1061 Harmon Ave
Ft Stewart, GA 31314-5604
Phone
(912) 435-6328
NPI assigned
Jul 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 006954-1 NY Primary

Addresses

Primary practice location

1061 Harmon Ave
Ft Stewart, GA 31314-5604

Mailing address

14 E Saybrook Dr
Glenmont, NY 12077-3061
Phone (315) 254-7303

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170628000584 NY Practitioner - Registered Dietitian Or Nutrition Professional 6305115791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
006954-1NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince May 9, 2017 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Aug 1, 2020 Accepting new patients
Albany Medical College Dietitian, Registered CurrentSince May 9, 2017 Accepting new patients
Albany Medical College Current Accepting new patients

Locations

47 New Scotland Ave
#61
Albany, NY 12208
Phone (518) 262-5791

391 Myrtle Ave
Albany, NY 12208
Phone (518) 262-5588

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

Organizations & group practices 5

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486166400000",
    "number": "1720088305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 E SAYBROOK DR",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120773061",
            "telephone_number": "315-254-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "city": "FT STEWART",
            "state": "GA",
            "postal_code": "313145604",
            "telephone_number": "912-435-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELEI",
        "first_name": "KATRINA",
        "middle_name": "VANTASSEL",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2017-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "006954-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Stewart, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2017; 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.