Michelle Telemaque, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

725137 Issued in MI

Practice address

3235 N Wellness Dr Ste 120a
Holland, MI 49424-8035

Phone

(616) 395-2833

NPI assigned

Oct 14, 2014

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

Other names 1

• Michelle Micallef Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: michelle.telemaque@holland.eclinicaldirectplus.com

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.

• Holland Community Hospital

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Holland, MI
  • NPI 1780888099
  NPD
• Nadolsky PLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Holland, MI
  • NPI 1982414223
  NPD (past)

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1063816494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 N WELLNESS DR STE 120A",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248035",
            "telephone_number": "616-395-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 N WELLNESS DR STE 120A",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248035",
            "telephone_number": "616-395-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELEMAQUE",
        "first_name": "MICHELLE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "725137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MICALLEF",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Garret L Taylor, LAT, ATC
• Jennifer L Taylor, NP-C
• Tcob Holdings, PC (Mailloux Dentistry)
• Kelly Teahan, LLMSW
• Brandi Tebo
• Pamela Ten Brink, LBSW
• Brooke Tenbrink, LPTA
• Jeremy Marc Tenbrink, FNP
• Leslie Sue Tenbrink, FNP
• Jennifer Tenclay, LMSW

• Registered Dietitian in Holland, MI
• Providers in Holland, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.