Provider Demographics
NPI:1154201697
Name:DIPOLITO, MELINDA PEARL (RD)
Entity type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:PEARL
Last Name:DIPOLITO
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12295 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EAST SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:16411-9621
Mailing Address - Country:US
Mailing Address - Phone:814-464-7973
Mailing Address - Fax:
Practice Address - Street 1:12295 MAIN ST
Practice Address - Street 2:
Practice Address - City:EAST SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:16411-9621
Practice Address - Country:US
Practice Address - Phone:814-464-7973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD.6934133V00000X
PADN004117133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered