Active NPI
Michelle Lorraine Villarreal, R.D.
- Registered Dietitian
- Laredo, TX
National Provider Identifier
1043451610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 00864028
- Practice address
- 1219 Corpus Christi St Unit a
Laredo, TX 78040-5314 - Phone
- (956) 744-9446
- Fax
- (956) 568-5226
- NPI assigned
- Mar 11, 2009
- 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 | 00864028 | TX | Primary |
Addresses
Primary practice location
1219 Corpus Christi St Unit a
Laredo, TX 78040-5314
Mailing address
1219 Corpus Christi St Unit a
Laredo, TX 78040-5314
Phone (956) 744-9446
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00864028 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236729600000",
"number": "1043451610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 CORPUS CHRISTI ST UNIT A",
"city": "LAREDO",
"state": "TX",
"postal_code": "780405314",
"telephone_number": "956-744-9446",
"fax_number": "956-568-5226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 CORPUS CHRISTI ST UNIT A",
"city": "LAREDO",
"state": "TX",
"postal_code": "780405314",
"telephone_number": "956-744-9446",
"fax_number": "956-568-5226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARREAL",
"first_name": "MICHELLE",
"middle_name": "LORRAINE",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-11",
"last_updated": "2009-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "00864028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.