Individual provider Active NPI

Michele Catherine Pino Sr., MS, RD, LD

  • Registered Dietitian
  • Pensacola, FL
National Provider Identifier
1184633240
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
NC 002985 Issued in FL
Practice address
6000 W. Hwy 98
MNT/Code 11
Pensacola, FL 32512
Phone
(850) 505-6417
Fax
(850) 505-6933
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NC 002985 FL Primary

Addresses

Primary practice location

6000 W. Hwy 98
MNT/Code 11
Pensacola, FL 32512

Mailing address

1432 Lemhurst Rd
Pensacola, FL 32507-3539
Phone (850) 505-6412

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
NC 002985FLMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184633240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 LEMHURST RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325073539",
            "telephone_number": "850-505-6412",
            "fax_number": "850-505-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 W. HWY 98",
            "address_2": "MNT/CODE 11",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32512",
            "telephone_number": "850-505-6417",
            "fax_number": "850-505-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINO",
        "first_name": "MICHELE",
        "middle_name": "CATHERINE",
        "name_prefix": "Ms.",
        "name_suffix": "Sr.",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "NC 002985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.