Individual provider Active NPI

Melissa Anne Fatica, MS RDN LD

  • Registered Dietitian
  • Mentor, OH
National Provider Identifier
1740194893
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD.5031 Issued in OH
Practice address
6481 Seminole TRL
Mentor, OH 44060-3410
Phone
(440) 749-0890
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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 LD.5031 OH Primary

Addresses

Primary practice location

6481 Seminole TRL
Mentor, OH 44060-3410

Mailing address

6481 Seminole TRL
Mentor, OH 44060-3410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1740194893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6481 SEMINOLE TRL",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440603410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6481 SEMINOLE TRL",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440603410",
            "telephone_number": "440-749-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATICA",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "MS RDN LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.5031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.