Provider Demographics
NPI:1265223648
Name:SILVIA, MELISSA (MS, RD, LDN)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:SILVIA
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:MRS
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:SILVIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, RD, LDN
Mailing Address - Street 1:141 SHAW ST
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-4315
Mailing Address - Country:US
Mailing Address - Phone:781-816-3125
Mailing Address - Fax:
Practice Address - Street 1:141 SHAW ST
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-4315
Practice Address - Country:US
Practice Address - Phone:781-816-3125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALDN7064133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered