NPI 1689072340 · live from the CMS NPI Registry
Melinda Boyd, RD
Dietitian, Registered in Ellsworth Afb, SD. National Provider Identifier 1689072340, active.
NPI record
| NPI | 1689072340 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2900 Doolittle Dr, Ellsworth Afb, SD 57706 |
| Practice phone | 605-385-6700 |
| Enumerated | December 11, 2014 |
| Last updated | December 12, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.