Active NPI
Melissa Dawn Anderson, M.S., R.D., L.D.
- Registered Dietitian
- Sulphur Springs, TX
National Provider Identifier
1821136243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT04435
- Practice address
- 115 Airport Rd
Sulphur Springs, TX 75482-2105 - Phone
- (903) 439-4044
- NPI assigned
- Feb 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT04435 | TX | Primary |
Addresses
Primary practice location
115 Airport Rd
Sulphur Springs, TX 75482-2105
Mailing address
213 Myndi St
Sulphur Springs, TX 75482-3531
Phone (903) 335-4031
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490054400000",
"number": "1821136243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 MYNDI ST",
"city": "SULPHUR SPRINGS",
"state": "TX",
"postal_code": "754823531",
"telephone_number": "903-335-4031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 AIRPORT RD",
"city": "SULPHUR SPRINGS",
"state": "TX",
"postal_code": "754822105",
"telephone_number": "903-439-4044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "MELISSA",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "M.S., R.D., L.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2017-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT04435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sulphur Springs, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.