MELISSA MAXWELL MS, RD, LD - NPI 1497239529 - Dietitian, Registered in Dallas, TX

Q: What is Melissa Maxwell's NPI number?

The NPI number for Melissa Maxwell is 1497239529. It was assigned to this individual provider in the NPPES registry on September 25, 2018. The provider is also known as Melissa Stack.

Q: What is Melissa Maxwell's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Maxwell was last updated on September 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

On this page

About Melissa Maxwell Ms, Rd, Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA MAXWELL MS, RD, LD (NPI 1497239529) is an individual dietitian, registered in Dallas, Texas, licensed in Texas (86032979) and active in the NPI registry since September 2018. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1497239529

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMELISSA MAXWELLCredential: MS, RD, LD

Location Address4801 FRANKFORD RD STE 300Dallas, TX 75287-5329

Mailing Address4801 Frankford Rd Ste 300Dallas, TX 75287-5329 · (214) 390-3259

Phone(214) 390-3259

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateSeptember 25, 2018

✔ NPI 1497239529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in TX · 86032979

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

4801 FRANKFORD RD STE 300, Dallas, TX 75287

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Other Names 1

Former Name (1)Melissa Stack

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Maxwell Ms, Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789164468

PECOS Enrollment IDI20260212004605

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CURIS FUNCTIONAL HEALTH

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