Melissa A Sullivan, RD, CD-N is a
Dietitian, Registered based in Ellington, Connecticut. Melissa A Sullivan is licensed to practice in Connecticut (license number ) and her current practice location is
10 Jonathan Dr, Ellington, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 670-0611.
NPI number for Melissa A Sullivan is 1801123856 and her current mailing address is 10 Jonathan Dr, Ellington, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801123856.
Healthcare Provider's Profile
| Full Name | Melissa A Sullivan |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 10 Jonathan Dr, Ellington, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1801123856
- Provider Enumeration Date: 11/12/2009
- Last Update Date: 03/17/2025
Medical Identifiers
Medical identifiers for Melissa A Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1801123856 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Melissa A Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Melissa A Sullivan, RD, CD-N 10 Jonathan Dr, Ellington, CT 06029-3885 Ph: (860) 670-0611 | Melissa A Sullivan, RD, CD-N 10 Jonathan Dr, Ellington, CT 06029-3885 Ph: (860) 670-0611 |
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