MELISSA FULLAM (RD, IBCLC) – Registered Dietitian, NPI 1508345000

MELISSA FULLAM (RD, IBCLC) is a healthcare provider. based in San diego, California. specializing in Registered Dietitian. They hold the professional credentials RD, IBCLC. They hold a License No. 86093133 (). The NPI Number for MELISSA FULLAM (RD, IBCLC) is 1508345000

Main info

Female
Sole Proprietor
Name
MELISSA FULLAM (RD, IBCLC)
NPI
1508345000
Phone
Not provided
Address
3535 MADISON AVE UNIT 112
Enumeration Date
7 August 2018
Last Update Date
29 October 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for MELISSA FULLAM (RD, IBCLC)

  • Madison Avenue, Mission Valley, San Diego, San Diego County, California, 92163, United States

    SAN DIEGO, CA 921165513

    Phone:

    Type: Mailing

  • 320 BROOK RD

    MILTON, MA 02186

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92116)

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Frequently asked questions

What is the standard ID for MELISSA FULLAM (RD, IBCLC) in the U.S.?
In the U.S., MELISSA FULLAM (RD, IBCLC) is identified by NPI 1508345000.
Is MELISSA FULLAM (RD, IBCLC) currently accepting referrals based on NPI status?
Registry metadata lists MELISSA FULLAM (RD, IBCLC) as active.
Which specialty label fits MELISSA FULLAM (RD, IBCLC)?
NPPES ties MELISSA FULLAM (RD, IBCLC) to Registered Dietitian in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MELISSA FULLAM (RD, IBCLC)?
MELISSA FULLAM (RD, IBCLC) is associated with San Diego, California in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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