Melissa Fullam, RD, IBCLC
Dietitian, Registered in Milton, Massachusetts
1508345000- Practice location
- 320 Brook RD, Milton, MA 02186
- Phone
- 201-925-7267
- Fax
- —
- Last updated
- October 29, 2024
Melissa Fullam is a Dietitian, Registered based in Milton, MA. Melissa Fullam practices in Milton, MA and has the professional credentials of RD, IBCLC. The NPI Number for Melissa Fullam is 1508345000 and holds a License No. 86093133. The current practice location address for Melissa Fullam is 320 Brook RD, Milton, MA 02186 and can be reached out via phone at 201-925-7267.
Provider Profile Details
- NPI Number
- 1508345000
- Provider Name
- Melissa Fullam
- Credential
- RD, IBCLC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 320 Brook RD, Milton, MA 02186
- Phone Number
- 201-925-7267
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 7, 2018
- Last Update Date
- October 29, 2024
- Certification Date
- October 24, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 320 Brook RD
Milton, MA 02186 - City
- Milton
- State
- Massachusetts
- Zip
- 02186
- Phone Number
- 201-925-7267
Provider Business Mailing Address Details
- Address
- 320 Brook RD
Milton, MA 02186 - City
- Milton
- State
- MA
- Zip
- 02186
License Information
- Taxonomy (1)
- Lactation Consultant, Non-RN · 174N00000X
- License Number (2)
- 86093133
- Taxonomy (2)
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Milton, MA
View all Dietitian, Registered providers in Milton →- Alison R Doak, MS, RD, LDNDietitian, Registered · NPI 1417273418
- Beth A Johnson, MS, RD, LDNDietitian, Registered · NPI 1700061025
- Kathy Cunningham, RD, LDNDietitian, Registered · NPI 1710370267
- Maria Karimbakas, RDDietitian, Registered · NPI 1679432488
- Melissa L Ganz, RDDietitian, Registered · NPI 1063122471
- Miss Mary E Kelly, MS, RD, CDNDietitian, Registered · NPI 1932120821
Frequently Asked Questions
What is the NPI number of Melissa Fullam, RD, IBCLC?
The NPI number of Melissa Fullam, RD, IBCLC is 1508345000. It was assigned on August 7, 2018 and is currently active in the NPPES registry.
What is the specialty of Melissa Fullam, RD, IBCLC?
Melissa Fullam, RD, IBCLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed under license number 86093133.
Where does Melissa Fullam, RD, IBCLC practice?
The practice location is 320 Brook RD, Milton, MA 02186. The office can be reached at 201-925-7267 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508345000 directly on the NPPES registry website.