Michelle M Ballard, RD, MS
Individual provider Active NPI Registered Dietitian · Hobart, IN
NPI 1184860892 · NPPES record last updated Dec 30, 2008
Key facts
- NPI
- 1184860892
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 37001767A (IN)
- Practice address
- 1500 S Lake Park Ave
Hobart, IN 46342-6638 - Phone
- (219) 947-6063
- Fax
- (219) 947-6049
- NPI assigned
- Dec 30, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37001767A | IN | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 37001767A | IN | Yes |
Addresses
Primary practice location
1500 S Lake Park Ave
Hobart, IN 46342-6638
Mailing address
1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone (219) 947-6063
Other providers in Hobart, IN
- Cyril Atseff
- Abygayl Atteberry
- Av Transportation Service
- Tavinder Bains
- Amy C Bales
- Tyronda Bandy
- Valentina Becvarovski
- Laura Bertucci
- Deepak Govind Bhojraj
- Dawn M Biller
All providers in Hobart, IN · Registered Dietitian in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2008. 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.