MELANIE SHAY COLVILLE (NPI# 1013145770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013145770 |
Entity Type | Individual |
Full Name | MELANIE SHAY COLVILLE |
Other Name | MELANIE LYNNE SHAY IV |
Credential | MS, RD |
Practice Address |
222 W Thomas Rd Suite 304 Phoenix AZ 85013-4419 |
Practice Telephone | 6024063611 |
Practice Fax Number | 6024064363 |
Mailing Telephone | 6024063611 |
Mailing Fax Number | 6024064363 |
Enumeration Date | 2009-07-01 |
Last Update Date | 2009-07-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
COMMISSION ON DIETETIC REGISTRATION | 886208 | 01 |
Street Address |
222 W THOMAS RD SUITE 304 |
City | PHOENIX |
State | AZ |
Zip Code | 85013-4419 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598760746 | Charles Phillip Daspit | Otolaryngology | 222 W Thomas Rd, Ste 114, Phoenix, AZ 85013-4420 | 2005-06-15 |
1467970988 | Anthony Joseph Bennett | Physician Assistant | 222 W Thomas Rd, Phoenix, AZ 85013-4419 | 2017-09-05 |
1700328036 | Laurie-anne S. Campbell | Physical Therapist | 222 W Thomas Rd, Phoenix, AZ 85013-4419 | 2016-11-17 |
1023492048 | Erin Piper | Psychologist | 222 W Thomas Rd, Suite 401, Phoenix, AZ 85013-4419 | 2015-07-20 |
1710366844 | Yvette Michelle Brown | Psychiatry & Neurology | 222 W Thomas Rd, Phoenix, AZ 85013-4419 | 2015-05-21 |
1275947574 | Tiffany Meites | Psychologist | 222 W Thomas Rd, Suite 315, Phoenix, AZ 85013-4419 | 2014-06-13 |
1346653847 | Krista Hanson | Clinical Neuropsychologist | 222 W Thomas Rd, Suite 315, Phoenix, AZ 85013-4419 | 2014-06-03 |
1467864066 | Julie Alberty | Clinical Neuropsychologist | 222 W Thomas Rd, Suite 315, Phoenix, AZ 85013-4419 | 2014-05-30 |
1528488434 | Cassandra Erickson | Preventive Medicine | 222 W Thomas Rd, Phoenix, AZ 85013-4419 | 2014-04-17 |
1851689376 | Ramaswamy Kavitha Perumparaichallai | Clinical Neuropsychologist | 222 W Thomas Rd, Suite 401, Phoenix, AZ 85013-4419 | 2011-07-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
Find all providers in zip 85013 |
Taxonomy Code | 133VN1006X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Metabolic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518318922 | Newmark Nutrition, LLC | Dietitian, Registered | 202 E Earll Dr Ste 425, Phoenix, AZ 85012-2649 | 2016-06-27 |
1366059834 | Mckenzie Millner | Dietitian, Registered | 4530 E Muirwood Dr Ste 111, Phoenix, AZ 85048-7693 | 2020-09-28 |
1225594294 | Alyssa Jeffers | Dietitian, Registered | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2019-02-14 |
1508036377 | Arizona Endocrinology Center, Plc | Dietitian, Registered | 15640 N 28th Dr, Phoenix, AZ 85053-4059 | 2008-03-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750545976 | Team 83 Partners LLC | Dietitian, Registered | 6320 W Union Hills Dr., Suite 1500 B, Glendale, AZ 85308 | 2008-07-16 |
1699308460 | Golden Health Initiative Inc | Dietitian, Registered | 101 W 5th St, Tempe, AZ 85281-0400 | 2020-02-19 |
1184167074 | Empower Health By Nutrition Pllc | Dietitian, Registered | 1210 W Davis Way, Flagstaff, AZ 86001-1201 | 2016-11-23 |
1609176882 | Carole Grant | Dietitian, Registered | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2010-10-22 |
1750503900 | Diane Marie Selleck | Dietitian, Registered | 12033 Agency Rd, Parker, AZ 85344-7718 | 2007-05-03 |
1235246273 | Frances E Catinella | Dietitian, Registered | 140 W Speedway Blvd, Suite 100, Tucson, AZ 85705-7698 | 2006-08-24 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.