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MELISSA CANNON NPI 1891038113


NPI Information

NPI: 1891038113
Provider Name: MELISSA CANNON
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
2950 INTERNATIONAL BLVD
OAKLAND, CA
ZIP 94601
Phone: (510) 535-4463
Get Directions

Melissa Cannon is a dietitian registered in Oakland, CA. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. Melissa Cannon NPI is 1891038113. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2950 INTERNATIONAL BLVD
OAKLAND, CA
ZIP 94601-228
Phone: (510) 535-4463
Fax: (510) 535-4494

The enumeration date for this NPI number is 4/4/2013 and was last updated on 4/4/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133N00000XNutritionistNo
2133NN1002XNutritionistNutrition, EducationNo
3133V00000XDietitian, Registered86009985CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HAP11743FOTHERCALIFORNIASOFP
21689863516MEDICAIDCALIFORNIA
3551876MEDICARE PINCALIFORNIA
41619147030MEDICARE PINCALIFORNIA
5FHC11743FMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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