Individual provider Active NPI

Michelle M Mielke, MBA, RD, LDN, CDE

  • Registered Dietitian
  • Chapel Hill, NC
National Provider Identifier
1447346655
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L003186 Issued in NC
Practice address
300 Meadowmont Village Cir
Suite 125
Chapel Hill, NC 27517-7518
Phone
(984) 974-2935
Fax
(984) 974-2946
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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 L003186 NC Primary

Addresses

Primary practice location

300 Meadowmont Village Cir
Suite 125
Chapel Hill, NC 27517-7518

Mailing address

300 Meadowmont Village Cir
Suite 125
Chapel Hill, NC 27517-7518
Phone (984) 974-2935

Other identifiers 1

IdentifierTypeStateIssuer
L003186OtherNCNC BOARD OF DIETETICS/NUTRITION

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)
Enrolled
Credentials
Master of Business Administration

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina Hospitals at Chapel Hill Past Accepting new patients
Northwestern Memorial Physicians Group Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1447346655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEADOWMONT VILLAGE CIR",
            "address_2": "SUITE 125",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177518",
            "telephone_number": "984-974-2935",
            "fax_number": "984-974-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEADOWMONT VILLAGE CIR",
            "address_2": "SUITE 125",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177518",
            "telephone_number": "984-974-2935",
            "fax_number": "984-974-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIELKE",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MBA, RD, LDN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L003186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF DIETETICS/NUTRITION",
            "identifier": "L003186",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.