Active NPI
Melissa L Armatta, RD
- Registered Dietitian
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164007494
- Practice address
- 1025 S 6TH St
Springfield, IL 62703-2403 - Phone
- (217) 528-7541
- NPI assigned
- Jun 9, 2006
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1008 | LA | |
| Registered Dietitian | 133V00000X | 164007494 | IL | Primary |
Addresses
Primary practice location
1025 S 6TH St
Springfield, IL 62703-2403
Mailing address
267 Carmel Woods Dr
Ellisville, MO 63021-4715
Phone (337) 207-9343
Other practice location 1
175 Duperier Ave
New Iberia, LA 70563-2415
Phone (337) 365-9262
Other practice location 2
15455 Manchester Rd Unit 13
Ballwin, MO 63022-5002
Phone (337) 207-9343
Other names 1
- Missy Armatta
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1008 | LA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| Lafayette Health Ventures, Inc | Past | Accepting new patients | |
| Lafayette Health Ventures, Inc | Past | Accepting new patients |
Locations
210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178
4212 W Congress St
Ste 1850
Lafayette, LA 70506
Phone (337) 703-4874
4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201
1211 Coolidge Blvd
Ste 203
Lafayette, LA 70503
Phone (337) 233-2535
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Lafayette, LA
- NPI 1417986092
-
- Anesthesiology Physician
- Jennings, LA
- NPI 1063124568
-
- Internal Medicine Physician
- Lafayette, LA
- NPI 1467687186
-
- Neurology Physician
- Lafayette, LA
- NPI 1568492841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539734400000",
"number": "1770524126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 CARMEL WOODS DR",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630214715",
"telephone_number": "337-207-9343",
"fax_number": "866-438-4042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 S 6TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627032403",
"telephone_number": "217-528-7541"
}
],
"practiceLocations": [
{
"address_1": "175 Duperier Ave",
"address_purpose": "LOCATION",
"city": "New Iberia",
"state": "LA",
"postal_code": "705632415",
"country_code": "US",
"telephone_number": "337-365-9262",
"fax_number": "337-365-9261",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15455 Manchester Rd Unit 13",
"address_purpose": "LOCATION",
"city": "Ballwin",
"state": "MO",
"postal_code": "630225002",
"country_code": "US",
"telephone_number": "337-207-9343",
"fax_number": "866-438-4042",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARMATTA",
"first_name": "MELISSA",
"middle_name": "L",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2018-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "1008",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164007494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MISSY",
"last_name": "ARMATTA",
"credential": "LDN,RD,CDE,CIPT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.