Individual provider Active NPI

Michelle Tiburzio, RDN, LDN

  • Registered Dietitian
  • Columbus, OH
National Provider Identifier
1316565088
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD.08595 Issued in OH
Practice address
921 Chatham LN
Columbus, OH 43221-2418
Phone
(614) 204-7172
NPI assigned
Jul 9, 2020
Last updated
Jul 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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 LD.08595 OH Primary

Addresses

Primary practice location

921 Chatham LN
Columbus, OH 43221-2418

Mailing address

921 Chatham LN
Columbus, OH 43221-2418
Phone (614) 204-7172

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260213000413 WV Practitioner - Registered Dietitian Or Nutrition Professional 2860972445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2121 7TH St
Parkersburg, WV 26101-3897

2601 Dudley Ave
Suite 4
Parkersburg, WV 26101-2649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1908WVMDProfessional Counselor
LD.08595OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Westbrook Health Services, Inc CurrentSince Jan 20, 2026 Accepting new patients

Locations

2121 7th St
Parkersburg, WV 26101
Phone (304) 485-1721

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1316565088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 CHATHAM LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212418",
            "telephone_number": "614-204-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 CHATHAM LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212418",
            "telephone_number": "614-204-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBURZIO",
        "first_name": "MICHELLE",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.08595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.