Individual provider Active NPI

Melissa Lynn Brown, MPH, CHES, RD, LD

  • Registered Dietitian
  • Nashville, TN
National Provider Identifier
1790336048
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2019028295 Issued in MO
Practice address
2002 Eastland Ave Ste 101
Nashville, TN 37206-1705
Phone
(615) 697-9355
Fax
(615) 334-0867
NPI assigned
Sep 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 4882 TN
Registered Dietitian 133V00000X 164.007836 IL
Registered Dietitian 133V00000X 2019028295 MO Primary

Addresses

Primary practice location

2002 Eastland Ave Ste 101
Nashville, TN 37206-1705

Mailing address

2002 Eastland Ave Ste 101
Nashville, TN 37206-1705
Phone (615) 697-9355

Other names 1

  • Melissa Lynn Richert Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
164.007836ILMDRegistered Dietitian
4882TNMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1790336048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 EASTLAND AVE STE 101",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372061705",
            "telephone_number": "615-697-9355",
            "fax_number": "615-334-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 EASTLAND AVE STE 101",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372061705",
            "telephone_number": "615-697-9355",
            "fax_number": "615-334-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MELISSA",
        "middle_name": "LYNN",
        "credential": "MPH, CHES, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "4882",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.007836",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2019028295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "RICHERT",
            "middle_name": "LYNN",
            "credential": "MPH, CHES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.