Individual provider Active NPI

Michelle Pippert, CNS

  • Nutritionist
  • Queen Creek, AZ
National Provider Identifier
1174435622
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
61546833 Issued in WA
Practice address
25227 S Saint Ruben CT
Queen Creek, AZ 85142-2070
Phone
(503) 475-2551
NPI assigned
Sep 21, 2026
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 61546833 WA Primary

Addresses

Primary practice location

25227 S Saint Ruben CT
Queen Creek, AZ 85142-2070

Mailing address

25227 S Saint Ruben CT
Queen Creek, AZ 85142-2070
Phone (503) 475-2551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1174435622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25227 S SAINT RUBEN CT",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851422070",
            "telephone_number": "503-475-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25227 S SAINT RUBEN CT",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851422070",
            "telephone_number": "503-475-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPPERT",
        "first_name": "MICHELLE",
        "credential": "CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "61546833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.