Active NPI
Melanie Brower, RD, LD
- Registered Dietitian
- Driggs, ID
National Provider Identifier
1891354783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1004628
- Practice address
- 120 E Howard St
Driggs, ID 83422-5112 - Phone
- (208) 569-8072
- NPI assigned
- Jun 13, 2019
- Last updated
- Jun 13, 2019
- 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 | 1004628 | ID | Primary |
Addresses
Primary practice location
120 E Howard St
Driggs, ID 83422-5112
Mailing address
PO Box 521
Sugar City, ID 83448-0521
Phone (208) 569-8072
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 |
|---|---|---|---|
| 1004628 | ID | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1891354783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 521",
"city": "SUGAR CITY",
"state": "ID",
"postal_code": "834480521",
"telephone_number": "208-569-8072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E HOWARD ST",
"city": "DRIGGS",
"state": "ID",
"postal_code": "834225112",
"telephone_number": "208-569-8072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWER",
"first_name": "MELANIE",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-13",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ID",
"license": "1004628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Driggs, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.