Michelle J Butcher, RDN
Individual provider Active NPI Sports Dietetics Nutrition Registered Dietitian · Brenham, TX
NPI 1154934008 · NPPES record last updated Aug 28, 2020
Key facts
- NPI
- 1154934008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Dietetics Nutrition Registered Dietitian 133VN1501X
- License
- 86115892 (TX)
- Practice address
- 359 Stone Hill Dr
Brenham, TX 77833-5630 - Phone
- (915) 843-7649
- NPI assigned
- Aug 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 86115892 | TX | MD | Sports Dietetics Nutrition Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Dietetics Nutrition Registered Dietitian | 133VN1501X | 86115892 | TX | Yes |
Addresses
Primary practice location
359 Stone Hill Dr
Brenham, TX 77833-5630
Mailing address
359 Stone Hill Dr
Brenham, TX 77833-5630
Other providers in Brenham, TX
- Renee M Brown
- Yolanda Rochelle Browning
- Cassandra M Bryant
- Beth G Burgmeyer
- Minnie Lou Burrell
- C Michael Altman DDS PC
- Camp Blessing Texas
- Aaron Wayne Campbell
- Rosie M Carmack
- Kiarra Mishon Carmean
All providers in Brenham, TX · Sports Dietetics Nutrition Registered Dietitian in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2020. 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.