Individual provider Active NPI

Michelle Eve Moreau, RDN

  • Registered Dietitian
  • Portsmouth, NH
National Provider Identifier
1306201595
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0788 Issued in NH
Practice address
4 Cutts St Unit 103
Portsmouth, NH 03801-3245
Phone
(603) 294-0462
Fax
(603) 498-1924
NPI assigned
Dec 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2021

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 0788 NH Primary

Addresses

Primary practice location

4 Cutts St Unit 103
Portsmouth, NH 03801-3245

Mailing address

4 Cutts St Unit 103
Portsmouth, NH 03801-3245
Phone (603) 294-0462

Other practice location 1

379 State St
Suite 1
Portsmouth, NH 03801-4092
Phone (603) 294-0462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160128000360 NH Practitioner - Registered Dietitian Or Nutrition Professional 5193028934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4 Cutts St
Unit 103
Portsmouth, NH 03801-3245
Phone (603) 294-0462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1306201595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CUTTS ST UNIT 103",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038013245",
            "telephone_number": "603-294-0462",
            "fax_number": "603-498-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CUTTS ST UNIT 103",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038013245",
            "telephone_number": "603-294-0462",
            "fax_number": "603-498-1924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "379 State St",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038014092",
            "country_code": "US",
            "telephone_number": "603-294-0462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOREAU",
        "first_name": "MICHELLE",
        "middle_name": "EVE",
        "name_prefix": "Ms.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2021-05-05",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NH",
            "license": "0788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.