Starr Michelle Seip, PHD MS RD LDN CDE

Key facts

NPI

1376789503

Entity type

Individual (NPI type 1)

Primary specialty

Registered Dietitian 133V00000X

License

DN001424 (PA)

Practice address

1432 Mountain Rd
Pine Grove, PA 17963-8695

Phone

(570) 617-3650

Fax

(570) 345-2034

NPI assigned

Dec 17, 2008

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Master of Science, Doctor of Philosophy

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 12, 2019.

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557619200000",
    "number": "1376789503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 MOUNTAIN RD",
            "city": "PINE GROVE",
            "state": "PA",
            "postal_code": "179638695",
            "telephone_number": "570-617-3650",
            "fax_number": "570-345-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 MOUNTAIN RD",
            "city": "PINE GROVE",
            "state": "PA",
            "postal_code": "179638695",
            "telephone_number": "570-617-3650",
            "fax_number": "570-345-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIP",
        "first_name": "STARR",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PHD MS RD LDN CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2019-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "PA",
            "license": "DN001424",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN001424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David Thomas Russell, D.O.
• Richard B Russell, D.O.
• Scalia Primary Care PC
• Robert A Scalia, D.O.
• Stephen D Muench DDS PC
• Thompson Social Services, Inc.
• Corina Lynn Torres, DDS
• Tri-Valley Pharmacy, Incorporated
• Cassandra Joy Ulinitz, OTR/L

All providers in Pine Grove, PA · Registered Dietitian in Pennsylvania