Active NPI
Michelle Krutan Berman, LDN
- Registered Dietitian
- Takoma Park, MD
National Provider Identifier
1144081670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DX2951
- Practice address
- 7610 Carroll Ave Ste 400
Takoma Park, MD 20912-6321 - Phone
- (301) 891-6141
- Fax
- (301) 891-6841
- NPI assigned
- Jan 22, 2024
- Last updated
- Jan 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | DX2951 | MD | Primary |
Addresses
Primary practice location
7610 Carroll Ave Ste 400
Takoma Park, MD 20912-6321
Mailing address
7610 Carroll Ave Ste 400
Takoma Park, MD 20912-6321
Phone (301) 891-6141
Other names 1
- Michelle Krutan Berman
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 |
|---|---|---|---|
| DX2951 | MD | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Pediatrics | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1144081670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7610 CARROLL AVE STE 400",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209126321",
"telephone_number": "301-891-6141",
"fax_number": "301-891-6841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7610 CARROLL AVE STE 400",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209126321",
"telephone_number": "301-891-6141",
"fax_number": "301-891-6841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMAN",
"first_name": "MICHELLE",
"middle_name": "KRUTAN",
"credential": "LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-22",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "DX2951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "BERMAN",
"middle_name": "KRUTAN",
"credential": "LDN",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.