MELISSA ANN GREEN (NPI# 1104328970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104328970 |
| Entity Type | Individual |
| Full Name | MELISSA ANN GREEN |
| Other Name | MELISSA ANN ADELS |
| Credential | RD |
| Practice Address |
3381 Phillis Blvd Myrtle Beach SC 29577-1560 |
| Practice Telephone | 8434770177 |
| Practice Fax Number | 8432322428 |
| Mailing Telephone | 8434770177 |
| Mailing Fax Number | 8432322428 |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1659 | SC | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901415 | Melissa Green | Nurse Practitioner | 2301 Cedar Springs Rd Ste 405, Dallas, TX 75201-7869 | 2020-10-26 |
| 1538650197 | Melissa Lynne Green | Assisted Living Facility | 224 Fishersville Rd, Fishersville, VA 22939-2250 | 2018-05-19 |
| 1851601652 | Melissa Green | Licensed Practical Nurse | 703 Middleville Rd Rt 28, Herkimer, NY 13350-0107 | 2010-10-14 |
| 1013063171 | Melissa Sue Green | Optometrist | 614 Se 33rd St, Cape Coral, FL 33904-4158 | 2007-01-25 |
| 1144258989 | Melissa Green | Nurse Anesthetist, Certified Registered | 5080 Mogollon Rim Dr, Lakeside, AZ 85929-5530 | 2006-06-29 |
| 1033168778 | Melissa V. Green | Audiologist | 3759 Vineville Ave, Macon, GA 31204-1854 | 2006-05-09 |
| 1831790781 | Melissa Green | Technician | 652 Main St, Barboursville, WV 25504-1439 | 2020-11-06 |
| 1710591409 | Melissa Green | Behavior Technician | 1819 E Springfield Ave Ste H, Spokane, WA 99202-2954 | 2020-09-01 |
| 1881243202 | Melissa Joy Green | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2019-09-09 |
| 1699277533 | Melissa Green | Nurse Practitioner | 219 E Broadway, Louisville, KY 40202-2032 | 2018-03-07 |
| Street Address |
3381 PHILLIS BLVD |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-1560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659341287 | Jose Luis Morales Vazquez | Family Medicine | 3381 Phillis Blvd, Myrtle Beach, SC 29577-1560 | 2006-01-25 |
| 1144672791 | Emily Heubel | Pharmacist | 3381 Phillis Blvd, Myrtle Beach, SC 29577 | 2016-07-07 |
| 1255735445 | Dara Ann Williams | Psychologist | 3381 Phillis Blvd, Myrtle Beach, SC 29577-1560 | 2014-10-16 |
| 1477967545 | Jorge L Cordova - Ruiz | General Practice | 3381 Phillis Blvd, Myrtle Beach, SC 29577 | 2014-06-17 |
| 1801209226 | Eric Biscoglio | Psychologist | 3381 Phillis Blvd, Myrtle Beach, SC 29577-1560 | 2014-06-03 |
| 1952657843 | Jacqueline D Thomas | Nurse Practitioner | 3381 Phillis Blvd, Myrtle Beach, SC 29577-1560 | 2012-07-28 |
| 1366721110 | James Michael Caruso | Optometrist | 3381 Phillis Blvd, Myrtle Beach, SC 29577-1560 | 2011-08-10 |
| 1659664233 | Michael Behrens | Pharmacist | 3381 Phillis Blvd, Myrtle Beach, SC 29577-1560 | 2011-05-16 |
| 1326372657 | Skye Leigh King | Social Worker | 3381 Phillis Blvd, Myrtle Beach, SC 29577-1560 | 2009-09-18 |
| 1811180805 | Joyce A. Greeno | Licensed Practical Nurse | 3381 Phillis Blvd, Myrtle Beach, SC 29577 | 2007-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536446 | Well Care Home Health of The Lowcountry | Home Health | 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 | 2018-01-22 |
| 1518470913 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 1294 Professional Dr., Suite C, Myrtle, SC 29577 | 2017-11-08 |
| 1598288227 | Ryan Shepherd | Pharmacist | 1705 South Kings Highway, Myrtle Beach, SC 29577 | 2017-07-25 |
| 1184176554 | Shannon Long | Counselor | 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 | 2016-11-01 |
| 1265898191 | Coastal Carolina Infectious Disease, LLC | Internal Medicine | 1110 London St Ste 102, Myrtle Beach, SC 29577 | 2016-01-07 |
| 1548639933 | Susan Lang | Social Worker | 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 | 2015-09-16 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1902203615 | Sc Nursing Services LLC | Home Infusion | 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 | 2014-11-24 |
| 1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
| 1891115739 | Julie Hite | Pharmacist | 540 Seaboard Street, Myrtle Beach, SC 29577 | 2014-04-18 |
| Find all providers in zip 29577 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033748033 | Amy Kimberly | Dietitian, Registered | 6169 Chadderton Cir, Myrtle Beach, SC 29579-4483 | 2020-04-02 |
| 1649357484 | Caroline C, Mckee | Dietitian, Registered | Myrtle Beach Primary Care, 3381 Phillis Blvd, Myrtle Beach, SC 29577-3210 | 2006-11-01 |
| 1063804284 | Charlotte Wiltshire | Dietitian, Registered | 3236 Holmestown Rd, Suite E1, Myrtle Beach, SC 29588-7495 | 2015-02-25 |
| 1497160485 | Lori Murphy | Dietitian, Registered | 700 21st Ave N, Myrtle Beach, SC 29577-7400 | 2014-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607134 | Sara Jones | Dietitian, Registered | 30 Northfield Ln, Simpsonville, SC 29681-4443 | 2020-10-19 |
| 1750989364 | Caroline Sledden | Dietitian, Registered | 4003 Hartnett Blvd Apt 2, Isle of Palms, SC 29451-2537 | 2020-10-15 |
| 1689271280 | Ads Ventures | Dietitian, Registered | 306 Bloomfield Ln, Greer, SC 29650-3804 | 2020-10-06 |
| 1487261616 | Lisa Lacroix | Dietitian, Registered | 5010 W Liberty Meadows Dr, Summerville, SC 29485-7939 | 2020-10-01 |
| 1679180087 | Rebecca Sowers | Dietitian, Registered | 125 Sedgebrook Dr, Simpsonville, SC 29681-3541 | 2020-09-29 |
| 1952917346 | Sarah Bishop Mixon | Dietitian, Registered | 755 Falls Rd, Rock Hill, SC 29730-7569 | 2020-09-21 |
| 1063026680 | Laura Piers | Dietitian, Registered | 3 Tabby Shell Rd, Bluffton, SC 29910-5508 | 2020-09-01 |
| 1508476516 | Anna Marie Berner | Dietitian, Registered | 3225 Hatchet Bay Dr Apt 6102, Charleston, SC 29414-5193 | 2020-08-04 |
| 1730798521 | Brooke Allison Brittain | Dietitian, Registered | 200 Booker Dr, Walhalla, SC 29691-2278 | 2020-07-28 |
| 1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
Please comment or provide details below to improve the information on MELISSA ANN GREEN.
| 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.