Active NPI
Melissa E. Baumann, M.S.,R.D.,CDE,LD/N
- Registered Dietitian
- Daytona Beach, FL
National Provider Identifier
1902831308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND 4941
- Practice address
- 201 N Clyde Morris Blvd
Daytona Beach, FL 32114-2724 - Phone
- (386) 238-3200
- NPI assigned
- Jul 12, 2006
- 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 | ND 4941 | FL | Primary |
Addresses
Primary practice location
201 N Clyde Morris Blvd
Daytona Beach, FL 32114-2724
Mailing address
PO Box 9671
Daytona Beach, FL 32120-9671
Phone (386) 676-7130
Other names 1
- Melissa E. Gambrell
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND 4941 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483920000000",
"number": "1902831308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9671",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321209671",
"telephone_number": "386-676-7130",
"fax_number": "386-676-7125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N CLYDE MORRIS BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142724",
"telephone_number": "386-238-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMANN",
"first_name": "MELISSA",
"middle_name": "E.",
"credential": "M.S.,R.D.,CDE,LD/N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2017-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND 4941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "GAMBRELL",
"middle_name": "E.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.