Melissa Rose Brunk
Individual provider Active NPI Registered Dietitian · Firestone, CO
NPI 1982547469 · NPPES record last updated Apr 10, 2026
Key facts
- NPI
- 1982547469
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86031381 (CO)
- Practice address
- 12715 Eagle River Rd
Firestone, CO 80504-5295 - Phone
- (970) 227-4458
- NPI assigned
- Apr 10, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86031381 | CO | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86031381 | CO | Yes |
Addresses
Primary practice location
12715 Eagle River Rd
Firestone, CO 80504-5295
Mailing address
12715 Eagle River Rd
Firestone, CO 80504-5295
Phone (970) 227-4458
Other providers in Firestone, CO
- Boulder Orthodontics
- Garrett Matthew Breitbarth
- Brighton Inc
- Elizabeth Brill
- Daniel Michael Briskie II
- Adam Tyler Bryan
- Jacob Burchell
- Yessica G Canas
- Elise Capra
- Carbon Valley Dental Company LLC
All providers in Firestone, CO · Registered Dietitian in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.