| Melanie Shay Colville, MS, RD | |
|
222 W Thomas Rd, Suite 304, Phoenix, AZ 85013-4419 | |
| (602) 406-3611 | |
| (602) 406-4363 |
| Full Name | Melanie Shay Colville |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered - Nutrition, Metabolic |
| Location | 222 W Thomas Rd, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013145770 | NPI | - | NPPES |
| 886208 | Other | COMMISSION ON DIETETIC REGISTRATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 133VN1006X | Dietitian, Registered - Nutrition, Metabolic | (* (Not Available)) | Primary |
| Provider Name | Phoenix Children's Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704 |
| Mailing Address | Practice Location Address |
|---|---|
| Melanie Shay Colville, MS, RD 222 W Thomas Rd, Suite 304, Phoenix, AZ 85013-4419 Ph: (602) 406-3611 | Melanie Shay Colville, MS, RD 222 W Thomas Rd, Suite 304, Phoenix, AZ 85013-4419 Ph: (602) 406-3611 |
Mrs. Maria T Escobar, CSP, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 480-440-2787 | |
Jennie Altman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 635 E Baseline Rd, Phoenix, AZ 85042 Phone: 602-243-7277 Fax: 602-243-1235 | |
Mrs. Danielle Lafata, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3509 N 32nd St, Phoenix, AZ 85018 Phone: 480-399-7246 | |
Laura Grace Simmons, MS, RDN, CD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2713 W Pecan Rd, Phoenix, AZ 85041 Phone: 253-470-8399 Fax: 866-540-3225 | |
Miss Erika Josephine Barrera, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 16601 N 12th St Apt 1142, Phoenix, AZ 85022 Phone: 520-425-9698 | |
Laura Lee, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 635 E Baseline Rd, Phoenix, AZ 85042 Phone: 602-243-7277 Fax: 602-243-1235 |