Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MELISSA MARIE WALLINGA, DCN, RD, LD
ActivePediatric Nutrition · MERIDIAN, ID
Registration Details
- NPI Number
- 1235538802
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 19, 2014 (11.673861810976 yrs)
- Last Updated
- May 19, 2025
- License
-
D-827 (ID)
Practice Information
- Address
-
4272 E WESTPORT CTMERIDIAN, ID, 836427650Browse ID providers · Browse ZIP 83642
- Phone
- 7125403072
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Other Pediatric Nutrition Providers in MERIDIAN, ID
| Name | Credential | NPI |
|---|---|---|
| JOBETH DEANNA KUCHAR | MS, RD, CSP, LD | 1144611872 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.