Michelle Bogan

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT93395 Issued in TX

Practice address

12005 US Highway 380 Apt 3026
Cross Roads, TX 76227-4054

Phone

(262) 422-2476

NPI assigned

Jun 10, 2024

Last updated

Aug 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1023850302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12005 US HIGHWAY 380 APT 3026",
            "city": "CROSS ROADS",
            "state": "TX",
            "postal_code": "762274054",
            "telephone_number": "262-422-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12005 US HIGHWAY 380 APT 3026",
            "city": "CROSS ROADS",
            "state": "TX",
            "postal_code": "762274054",
            "telephone_number": "262-422-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGAN",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT93395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ba Bishop Product and Services, LLC
• Megan Balettie, M.S.
• Kelly Barina, LPC
• Tandi Michele Barnett, FNP-C
• Sharon Beam, M ED, LPC-S
• Wendy E Boyd
• Beverly Braack
• Brandon Beckman DO, PLLC
• Keilah Brown, DC
• Kerry Ryan Cagle

• Registered Dietitian in Crossroads, TX
• Providers in Crossroads, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.