MELISSA YOUNG (NPI# 1760858138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760858138 |
| Entity Type | Individual |
| Full Name | MELISSA YOUNG |
| Credential | MS RD LD CSR |
| Practice Address |
4085 Vinings Mill Trl Se Smyrna GA 30080-6497 |
| Practice Telephone | 3018739786 |
| Mailing Telephone | 3018739786 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | LD003663 | GA | Dietary & Nutritional Service Providers |
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
LD003663 | GA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812710 | Melissa Young | Behavioral Analyst | 1617 Clark St Apt 302, Honolulu, HI 96822-4803 | 2019-10-10 |
| 1518322627 | Melissa Rose Young | Physical Therapist | 240 Wall St Ste 100, West Long Branch, NJ 07764-1181 | 2015-12-17 |
| 1285031567 | Melissa Young | Behavioral Analyst | 67 Purchase St, Milford, MA 01757-4611 | 2014-12-02 |
| 1497161095 | Melissa Young | Massage Therapist | 4359 S Howell Ave, Suite 203, Milwaukee, WI 53207-5056 | 2014-07-03 |
| 1407282379 | Melissa Young | Marriage & Family Therapist | 315 Francisca Dr, Florissant, MO 63031-4244 | 2013-09-23 |
| 1154673325 | Melissa Young | Early Intervention Provider Agency | 2585 W Lake Dr, Deland, FL 32724-3282 | 2012-10-11 |
| 1619247673 | Melissa Clodfelter Young | Lactation Consultant, Non-RN | 148 Old Squaw Rd, Mooresville, NC 28117-8119 | 2012-01-09 |
| 1952601239 | Melissa Young | Registered Nurse | 16 Seed Tick Neck Rd, Pinetown, NC 27865-9579 | 2010-11-02 |
| 1326247933 | Melissa Young | Massage Therapist | 4004 Carlisle Blvd Ne Ste B, Albuquerque, NM 87107-4566 | 2007-07-13 |
| 1013122068 | Melissa Dawn Young | Respiratory Therapist, Certified | 4315 Lead Mine Rd, Apartment 16f, Raleigh, NC 27612-3314 | 2007-05-13 |
| Street Address |
4085 VININGS MILL TRL SE |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-6497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265839 | Mina Xia | Dietitian, Registered | 7007 Kingswood Run Dr, Atlanta, GA 30340-1865 | 2020-11-03 |
| 1053979690 | Vanessa Lynn Hunt | Dietitian, Registered | 4276 Courtside Dr, Stone Mountain, GA 30083-1292 | 2019-05-30 |
| 1164838173 | Sally Butler Stieghan | Dietitian, Registered | 222 14th St Ne Apt 213, Atlanta, GA 30309-7681 | 2014-07-10 |
| 1265718928 | Practical Wellness LLC | Dietitian, Registered | 889 Stallings Ave Se, Atlanta, GA 30316-2209 | 2011-10-26 |
| 1073793766 | Christy Leigh Roberts | Dietitian, Registered | 190 Calhoun Rd, Griffin, GA 30224-7829 | 2007-11-09 |
| 1225220866 | Nutrition 411 Beverly Ford Rd Ld LLC | Dietitian, Registered | 2425 Williams St, Augusta, GA 30904-6127 | 2007-08-17 |
| 1487873352 | Cynthia Goudeau | Dietitian, Registered | 1830 Niskey Cove Rd Sw, Atlanta, GA 30331-6339 | 2007-04-25 |
| 1457440786 | Amanda Jo Redden | Dietitian, Registered | 22 Camden Cir, Newnan, GA 30265-5551 | 2006-10-12 |
| 1316057862 | Mary Etta James Gresham | Dietitian, Registered | 5330 Cayuga Ct, Lithonia, GA 30038-1106 | 2006-08-30 |
| 1376579656 | Melissa Ann Krentzman | Dietitian, Registered | 1685 Barfield Run Nw, Atlanta, GA 30318-2778 | 2006-06-25 |
| Find all providers with the same taxonomy | ||||
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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.