MELISSA MARIE WILLIFORD (NPI# 1184097537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184097537 |
| Entity Type | Individual |
| Full Name | MELISSA MARIE WILLIFORD |
| Credential | R.D. |
| Practice Address |
12055 W 2nd Pl Lakewood CO 80228-1506 |
| Mailing Address |
4851 Independence St Suite 200 Wheat Ridge CO 80033-6715 |
| Practice Telephone | 3034250300 |
| Mailing Telephone | 3034250300 |
| Mailing Fax Number | 3034325071 |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2015-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | 86013110 | CO | Dietary & Nutritional Service Providers |
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
86013110 | CO | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | 86013110 | Dietary & Nutritional Service Providers |
| Street Address |
12055 W 2ND PL |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669495404 | Margaret Lackey | Psychiatry & Neurology | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2006-07-25 |
| 1699311803 | Metro Community Provider Network, Inc. | Clinic/Center | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2019-11-22 |
| 1649826215 | Valerie K Damron | Technician, Other | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2019-08-10 |
| 1083132559 | Lauren Fouch | Counselor | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2017-09-06 |
| 1487170692 | Anastasia Soroka | Counselor | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2017-08-18 |
| 1447780994 | Alison West | Counselor | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2017-06-18 |
| 1801332655 | Rachael Saffa | Social Worker | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2017-01-17 |
| 1942744388 | Paula Prentice | Psychologist | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2016-12-04 |
| 1326581257 | Theresa Tomich | Student in an Organized Health Care Education/Training Program | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2016-11-25 |
| 1376092080 | Jessica Way | Counselor | 12055 W 2nd Pl, Lakewood, CO 80228 | 2016-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| 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 |
|---|---|---|---|---|
| 1972119444 | Roxanne Hartman | Dietitian, Registered | 1893 S Zinnia Way, Lakewood, CO 80228-4237 | 2020-09-21 |
| 1013531953 | Kristen Murray Nutrition LLC | Dietitian, Registered | 1585 Westwood Ave, Lakewood, OH 44107-3703 | 2020-06-06 |
| 1770115503 | Tobi Blumenfeld | Dietitian, Registered | 3 Lewin Ave, Lakewood, NJ 08701-4674 | 2020-02-10 |
| 1649802844 | Satisfi Nutrition Clinic, LLC | Dietitian, Registered | 701 Cross St Ste 129, Lakewood, NJ 08701-4029 | 2020-02-06 |
| 1861023350 | Brocha D Birnbaum | Dietitian, Registered | 518 Forest Ave Apt B-11, Lakewood, NJ 08701-2517 | 2020-02-03 |
| 1225673973 | Jazmin Valencia | Dietitian, Registered | 64 Harlan St, Lakewood, CO 80226-2213 | 2019-11-16 |
| 1083260970 | Noah Sophie Miller | Dietitian, Registered | 56 Steven Ln, Lakewood, NJ 08701-1545 | 2019-08-15 |
| 1699328229 | Leah Blum | Dietitian, Registered | 101 Twin Oaks Dr, Lakewood, NJ 08701-7156 | 2019-07-23 |
| 1407412950 | Sarah Shapiro | Dietitian, Registered | 25 Hawk Way, Lakewood, NJ 08701-4949 | 2019-05-09 |
| 1356904593 | Chana Goldberg | Dietitian, Registered | 111 Yesodei Ct, Lakewood, NJ 08701-4952 | 2019-04-14 |
| Find all providers in LAKEWOOD | ||||
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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.