Provider Demographics
NPI:1053830935
Name:CATER, MELINDA (RDN)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:
Last Name:CATER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2316 N KENTUCKY ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3223
Mailing Address - Country:US
Mailing Address - Phone:703-538-2223
Mailing Address - Fax:
Practice Address - Street 1:2316 N KENTUCKY ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3223
Practice Address - Country:US
Practice Address - Phone:703-538-2223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered