Active NPI
Melissa Davis
- Registered Dietitian
- North Adams, MA
National Provider Identifier
1831510791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000003572
- Practice address
- 71 Hospital Ave
Food and Nutrition Services
North Adams, MA 01247-2504 - Phone
- (413) 841-8777
- Fax
- (413) 664-5034
- NPI assigned
- Dec 19, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 000003572 | MA | Primary |
Addresses
Primary practice location
71 Hospital Ave
Food and Nutrition Services
North Adams, MA 01247-2504
Mailing address
71 Hospital Ave
Food and Nutrition Services
North Adams, MA 01247-2504
Phone (413) 841-8777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174547871 | Other | MA | MEDICARE NPI |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000003572 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1831510791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 HOSPITAL AVE",
"address_2": "FOOD AND NUTRITION SERVICES",
"city": "NORTH ADAMS",
"state": "MA",
"postal_code": "012472504",
"telephone_number": "413-841-8777",
"fax_number": "413-664-5034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 HOSPITAL AVE",
"address_2": "FOOD AND NUTRITION SERVICES",
"city": "NORTH ADAMS",
"state": "MA",
"postal_code": "012472504",
"telephone_number": "413-841-8777",
"fax_number": "413-664-5034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MELISSA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-19",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "000003572",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NPI",
"identifier": "1174547871",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Adams, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.