Individual provider Active NPI

Michelle Ross, RD

  • Registered Dietitian
  • Lebanon, TN
National Provider Identifier
1316600562
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2875 Issued in TN
Practice address
1616 W Main St Ste 300
Lebanon, TN 37087-3101
Phone
(615) 322-6000
NPI assigned
Oct 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 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 2875 TN Primary

Addresses

Primary practice location

1616 W Main St Ste 300
Lebanon, TN 37087-3101

Mailing address

741 Starpoint Dr
Gallatin, TN 37066-7458
Phone (205) 937-9813

Other identifiers 1

IdentifierTypeStateIssuer
2875OtherTNLICENSED DIETITIAN/NUTRITIONIST

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michelle.m.ross@vumc.org Direct Vanderbilt University Medical Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2875TNMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1316600562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 STARPOINT DR",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370667458",
            "telephone_number": "205-937-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 W MAIN ST STE 300",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873101",
            "telephone_number": "615-322-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "2875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED DIETITIAN/NUTRITIONIST",
            "identifier": "2875",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.m.ross@vumc.org",
            "affiliation": "Y",
            "affiliationName": "Vanderbilt University Medical Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1411 W Baddour Pkwy",
            "city": "Lebanon",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370872513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.