Michelle Marie Adam, RD, LD
Individual provider Active NPI Registered Dietitian · Austin, TX
NPI 1083569552 · NPPES record last updated Mar 2, 2026
Key facts
- NPI
- 1083569552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DT84920 (TX)
- Practice address
- 3724 Jefferson St Ste 104
Austin, TX 78731-6204 - Phone
- (321) 505-0762
- Fax
- (321) 505-0762
- NPI assigned
- Mar 2, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT84920 | TX | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT84920 | TX | Yes |
Addresses
Primary practice location
3724 Jefferson St Ste 104
Austin, TX 78731-6204
Mailing address
3724 Jefferson St Ste 104
Austin, TX 78731-6204
Phone (321) 505-0762
Other practice location 1
109 Holly Ct
Terrell, TX 75160-5015
Phone (321) 505-0762
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.