Active NPI
Michelle J Butcher, RDN
- Sports Dietetics Nutrition Registered Dietitian
- Brenham, TX
National Provider Identifier
1154934008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Dietetics Nutrition Registered Dietitian
- License
- 86115892
- Practice address
- 359 Stone Hill Dr
Brenham, TX 77833-5630 - Phone
- (915) 843-7649
- NPI assigned
- Aug 28, 2020
- Last updated
- Aug 28, 2020
- 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 |
|---|---|---|---|---|
| Sports Dietetics Nutrition Registered Dietitian | 133VN1501X | 86115892 | TX | Primary |
Addresses
Primary practice location
359 Stone Hill Dr
Brenham, TX 77833-5630
Mailing address
359 Stone Hill Dr
Brenham, TX 77833-5630
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 |
|---|---|---|---|
| 86115892 | TX | MD | Sports Dietetics Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598572800000",
"number": "1154934008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "359 STONE HILL DR",
"city": "BRENHAM",
"state": "TX",
"postal_code": "778335630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "359 STONE HILL DR",
"city": "BRENHAM",
"state": "TX",
"postal_code": "778335630",
"telephone_number": "915-843-7649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTCHER",
"first_name": "MICHELLE",
"middle_name": "J",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-28",
"last_updated": "2020-08-28",
"certification_date": "2020-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1501X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
"state": "TX",
"license": "86115892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brenham, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.