Michele Elizabeth Reardon, M.S., R.D.

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

LD001158 Issued in GA

Practice address

5102 Paulsen St
Savannah, GA 31405-4601

Phone

(912) 356-5171

NPI assigned

Mar 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255459996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 VILLAGE GREEN CIR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314111507",
            "telephone_number": "912-598-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054601",
            "telephone_number": "912-356-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARDON",
        "first_name": "MICHELE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "M.S., R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "GA",
            "license": "LD001158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael G Razuri, MD
• RCC Ventures (Home Instead Senior Care)
• Diana Reagin, BCBA
• Davis L Reames, M.D.
• Marissa Catherine Reardon, FNP-C
• Matthew Patrick Reaves, PA-C
• Rebecca Hawkins & Associates, LTD
• Recovery & Support Alliance, LLC
• Recovery Place
• Recovery Place Community Services, Inc.

• Renal Nutrition Registered Dietitian in Savannah, GA
• Providers in Savannah, GA by specialty
• Renal Nutrition Registered Dietitian in Georgia

• 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.