Grace Marie Melrose, RD
Dietitian, Registered in Scottsdale, AZ. Individual provider (NPI-1).
NPI number1760892152
StatusActive
Last updated in NPPESFeb 27, 2018
Details
- NPI
- 1760892152
- Entity type
- Individual (NPI-1)
- Name
- Grace Marie Melrose
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 6, 2014
- Last updated
- Feb 27, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1019007 | AZ | Yes |
Other names
- Grace Marie Haecker (Former Name)
Practice location
13400 E Shea BlvdScottsdale, AZ 85259-5452
Phone 480-301-8000
Mailing address
13400 E Shea BlvdScottsdale, AZ 85259-5452
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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