Individual provider Active NPI

Melody Kyzer, PHD, RD, LDN

  • Registered Dietitian
  • Wilmington, NC
National Provider Identifier
1871402149
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L002013 Issued in NC
Practice address
6622 Myrtle Grove Rd
Wilmington, NC 28409-4523
Phone
(910) 200-4981
NPI assigned
Sep 3, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X L002013 NC Primary

Addresses

Primary practice location

6622 Myrtle Grove Rd
Wilmington, NC 28409-4523

Mailing address

6622 Myrtle Grove Rd
Wilmington, NC 28409-4523

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": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1871402149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 MYRTLE GROVE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284094523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6622 MYRTLE GROVE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284094523",
            "telephone_number": "910-200-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYZER",
        "first_name": "MELODY",
        "name_prefix": "Dr.",
        "credential": "PHD, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L002013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.