Michelle Kathryn Preston, RD, LDN, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

8 Sunset Hills Professional Ctr
Edwardsville, IL 62025-3760

Phone

(618) 659-8592

Fax

(618) 659-8687

NPI assigned

Dec 6, 2006

Last updated

Apr 10, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christian Hospital Illinois Services

  dba CH Diabetes Institute

  • Medical Specialty Clinic/Center
  • Edwardsville, IL
  • NPI 1023100195
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1255490280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SUNSET HILLS PROFESSIONAL CTR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253760",
            "telephone_number": "618-659-8592",
            "fax_number": "618-659-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SUNSET HILLS PROFESSIONAL CTR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253760",
            "telephone_number": "618-659-8592",
            "fax_number": "618-659-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "MICHELLE",
        "middle_name": "KATHRYN",
        "name_prefix": "Miss",
        "credential": "RD, LDN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Powe, BEHAVIOR TECHNICIAN
• Dakeisha Powers
• Prairie Rose Counseling and Consulting, PLLC
• Premier MD
• Emily Elizabeth Prescott
• Pro Counseling PLLC
• Prorehab, PC (Athletico Physical Therapy)
• Bryana Vivyette Protkovic
• Jessica Marie Przygoda, RN
• Sarah Michelle Puckett, FNP

• Registered Dietitian in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.