Michelle Kulovitz Alencar, PHD, CCN

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

5057 Issued in CA

Practice address

836 S Amber LN
Anaheim, CA 92807-4826

Phone

(714) 809-8528

NPI assigned

Jul 10, 2015

Last updated

Mar 29, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Michelle Kulovitz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1427432251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 S AMBER LN",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074826",
            "telephone_number": "714-809-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 S AMBER LN",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074826",
            "telephone_number": "714-809-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALENCAR",
        "first_name": "MICHELLE",
        "middle_name": "KULOVITZ",
        "name_prefix": "Dr.",
        "credential": "PHD, CCN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-10",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CA",
            "license": "5057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL NUTRITON CERTIFICATION BOARD",
            "identifier": "5057",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "KULOVITZ",
            "prefix": "DR.",
            "credential": "PHD, CCN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Nutrition Education Nutritionist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Nutrition Education Nutritionist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.