Individual provider Active NPI

Michelle Lee Hornsby, MS RD

  • Registered Dietitian
  • Virginia Beach, VA
National Provider Identifier
1013676816
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1099025 Issued in VA
Practice address
216 57TH St Apt B
Virginia Beach, VA 23451-2227
Phone
(540) 560-4772
NPI assigned
Dec 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1099025 VA Primary

Addresses

Primary practice location

216 57TH St Apt B
Virginia Beach, VA 23451-2227

Mailing address

216 57TH St Apt B
Virginia Beach, VA 23451-2227
Phone (540) 560-4772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220614000938 VA Practitioner - Registered Dietitian Or Nutrition Professional 6305225848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nutrition in MotionGroup PAC ID 7416091996, 5 clinicians

Practice addresses (Care Compare)

780 Lynnhaven Pkwy
Virginia Beach, VA 23452-7332
Phone (888) 964-1975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1099025VAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition in Motion Dietitian, Registered CurrentSince May 2, 2022 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

80 Palomino Ln
Ste 101
Bedford, NH 03110
Phone (603) 315-7936

301 Riverview Ave
Ste 512
Norfolk, VA 23510
Phone (757) 627-5116

780 Lynnhaven Pkwy
Virginia Beach, VA 23452
Phone (224) 206-5001

1200 First Colonial Rd
Ste 202
Virginia Beach, VA 23454
Phone (757) 481-0385

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1013676816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 57TH ST APT B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234512227",
            "telephone_number": "540-560-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 57TH ST APT B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234512227",
            "telephone_number": "540-560-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNSBY",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "credential": "MS RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "1099025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.