Individual provider Active NPI

Michelle Graves, RD

  • Registered Dietitian
  • McCordsville, IN
National Provider Identifier
1427664291
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1043229 Issued in IN
Practice address
8505 N Clearview Drive
McCordsville, IN 46055
Phone
(317) 335-6939
NPI assigned
Sep 17, 2020
Last updated
Sep 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 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 1043229 IN Primary

Addresses

Primary practice location

8505 N Clearview Drive
McCordsville, IN 46055

Mailing address

8505 N Clearview Drive
McCordsville, IN 46055
Phone (317) 335-6939

Other practice location 1

888 W New Rd
Greenfield, IN 46140-7304
Phone (317) 468-6100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgraves@hancockregional.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210427000589 IN Practitioner - Registered Dietitian Or Nutrition Professional 7012325392 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1043229INMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Regional Hospital CurrentSince Mar 1, 2021 Accepting new patients
Hancock Regional Hospital Current Accepting new patients
Hancock Physician Network, LLC CurrentSince Jun 7, 2024 Accepting new patients
Hancock Regional Hospital CurrentSince Mar 1, 2021 Accepting new patients

Locations

801 N State St
Ste 100
Greenfield, IN 46140
Phone (317) 462-3255

801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727

801 N State St
Ste 205
Greenfield, IN 46140
Phone (317) 325-2699

888 W New Rd
Greenfield, IN 46140
Phone (317) 468-6100

Organizations & group practices 4

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": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1427664291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 N CLEARVIEW DRIVE",
            "city": "MCCORDSVILLE",
            "state": "IN",
            "postal_code": "46055",
            "telephone_number": "317-335-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 N CLEARVIEW DRIVE",
            "city": "MCCORDSVILLE",
            "state": "IN",
            "postal_code": "46055",
            "telephone_number": "317-335-6939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 W New Rd",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "IN",
            "postal_code": "461407304",
            "country_code": "US",
            "telephone_number": "317-468-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "MICHELLE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "1043229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgraves@hancockregional.org",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "address_1": "8505 N Clearview Drive",
            "city": "McCordsville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McCordsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.