Michelle Horan Nutrition and Wellness

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

MICHELLE HORAN NUTRITION AND WELLNESS

Practice address

35 Manchester Rd
Derry, NH 03038-3064

Phone

(603) 573-9658

NPI assigned

Aug 12, 2022

Organization subpart

No

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

Authorized official

Name

Michelle Horan, RDN

Title

Owner

Phone

(978) 621-5364

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1104554468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HOLTON CIR",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533014",
            "telephone_number": "978-621-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MANCHESTER RD",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030383064",
            "telephone_number": "603-573-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE HORAN NUTRITION AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "HORAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-621-5364",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "395",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elisa J Mercuro, DO
• Merrimack Valley Sonographic Services,Inc.
• Alexandra Merritt, CSFA
• Michael R Dion DMD Fagd
• Emma B Michaud, AUD
• Katelyn Lee Milligan, LMHC
• Ekaterina Mironova, AG-ACNP
• Robert Miskimen III, DDS, MD
• Derek Mixon, PHARMD
• Crystal Mohrmann

• Registered Dietitian in Derry, NH
• Providers in Derry, NH by specialty
• Registered Dietitian in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.