Provider Demographics
NPI:1063219574
Name:VAJAS, MELISSA MORNINGSTAR (RD)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:MORNINGSTAR
Last Name:VAJAS
Suffix:
Gender:
Credentials:RD
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:LYNN
Other - Last Name:MORNINGSTAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:10251 BELLEAU DR
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-1152
Mailing Address - Country:US
Mailing Address - Phone:440-387-3508
Mailing Address - Fax:
Practice Address - Street 1:10251 BELLEAU DR
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-1152
Practice Address - Country:US
Practice Address - Phone:440-387-3508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH7285133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered