Active NPI
Michelle Lynn Igleheart, MS, RD, LD
- Registered Dietitian
- Cambridge, OH
National Provider Identifier
1003977877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4256
- Practice address
- 1341 Clark St
Cambridge, OH 43725-9614 - Phone
- (740) 435-2941
- Fax
- (740) 435-2910
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 4256 | OH | Primary |
Addresses
Primary practice location
1341 Clark St
Cambridge, OH 43725-9614
Mailing address
2714 Rita Cir NE
Hartville, OH 44632-9780
Phone (740) 435-2941
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4256 | OH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003977877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2714 RITA CIR NE",
"city": "HARTVILLE",
"state": "OH",
"postal_code": "446329780",
"telephone_number": "740-435-2941",
"fax_number": "740-435-2910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1341 CLARK ST",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "437259614",
"telephone_number": "740-435-2941",
"fax_number": "740-435-2910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGLEHEART",
"first_name": "MICHELLE",
"middle_name": "LYNN",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "4256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.