Individual provider Active NPI

Melissa Robyn Burton

  • Registered Dietitian
  • Los Angeles, CA
National Provider Identifier
1912495136
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
1955 Carmen Ave
Los Angeles, CA 90068-4012
Phone
(917) 674-9606
NPI assigned
Apr 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

1955 Carmen Ave
Los Angeles, CA 90068-4012

Mailing address

1955 Carmen Ave
Los Angeles, CA 90068-4012
Phone (917) 674-9606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MI, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250416001662 VA Practitioner - Registered Dietitian Or Nutrition Professional 7113467986 Reassigns benefits to 1 organization
I20260203001863 MI Practitioner - Registered Dietitian Or Nutrition Professional 7113467986 Reassigns benefits to 1 organization
I20260529001655 NC Practitioner - Registered Dietitian Or Nutrition Professional 7113467986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

39555 Orchard Hill PL
Suite 600
Novi, MI 48375-5384

5801 Postal Rd
Cleveland, OH 44181-2184

5801 Postal Rd
Cleveland, OH 44181-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Womens Care PLC CurrentSince Jun 1, 2025 Accepting new patients
Uwh of Michigan PLC CurrentSince Dec 29, 2025 Accepting new patients
Mid-Atlantic Womens Care PLC Past Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients
Metro Partners in Womens Health, PC Past Accepting new patients
Genneve Medical P.C. Past Accepting new patients
Womencare PA Past Accepting new patients

Locations

1560 Turf Ln
East Lansing, MI 48823
Phone (517) 484-3000

1100 S Cedar St
Mason, MI 48854
Phone (517) 484-3000

46325 W Twelve Mile Rd
Ste 250
Novi, MI 48377
Phone (248) 465-1200

5801 Postal Rd
Unit 81847
Cleveland, OH 44181
Phone (561) 849-3534

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

828 Healthy Way
Ste 330
Virginia Beach, VA 23462
Phone (206) 895-4292

Organizations & group practices 8

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": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1912495136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 CARMEN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900684012",
            "telephone_number": "917-674-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 CARMEN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900684012",
            "telephone_number": "917-674-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "MELISSA",
        "middle_name": "ROBYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.