Individual provider Active NPI

Melissa Druien, LD

  • Registered Dietitian
  • Oklahoma City, OK
National Provider Identifier
1720775471
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2827 Issued in OK
Practice address
3555 NW 58TH St Ste 910-W
Oklahoma City, OK 73112-4707
Phone
(405) 885-0270
NPI assigned
Apr 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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 2827 OK Primary

Addresses

Primary practice location

3555 NW 58TH St Ste 910-W
Oklahoma City, OK 73112-4707

Mailing address

3609 Morgan Creek Rd
Yukon, OK 73099-5142
Phone (940) 613-4766

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230428001076 OK Practitioner - Registered Dietitian Or Nutrition Professional 8820453749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Well Rooted Health and NutritionGroup PAC ID 4385975002, 2 clinicians

Practice addresses (Care Compare)

3555 NW 58TH St
Suite 910 W
Oklahoma City, OK 73112-4707
Phone (405) 885-0270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2827OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Well Rooted Health and Nutrition CurrentSince Apr 22, 2023 Accepting new patients

Locations

16308 Ironstone Pl
Edmond, OK 73013
Phone (405) 748-0234

3555 NW 58th St
Ste 910W
Oklahoma City, OK 73112
Phone (405) 653-9161

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": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1720775471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 MORGAN CREEK RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730995142",
            "telephone_number": "940-613-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 NW 58TH ST STE 910-W",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124707",
            "telephone_number": "405-885-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUIEN",
        "first_name": "MELISSA",
        "credential": "LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "2827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.