Active NPI
Michelle Smith-Breaux, MPH, RD, LD, CHES
- Registered Dietitian
- Greenville, NC
National Provider Identifier
1467181453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86048699
- Practice address
- 601 Country Club Dr
Ste B #184
Greenville, NC 27834 - Phone
- (701) 500-4370
- NPI assigned
- Jun 6, 2022
- Last updated
- Dec 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86048699 | NC | Primary |
Addresses
Primary practice location
601 Country Club Dr
Ste B #184
Greenville, NC 27834
Mailing address
601 Country Club Dr Ste B
Greenville, NC 27834-6124
Phone (252) 375-8344
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86048699 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gracelivity LLC | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 3
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": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766966400000",
"number": "1467181453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 COUNTRY CLUB DR STE B",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278346124",
"telephone_number": "252-375-8344",
"fax_number": "919-561-6449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 COUNTRY CLUB DR",
"address_2": "STE B #184",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27834",
"telephone_number": "701-500-4370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH-BREAUX",
"first_name": "MICHELLE",
"credential": "MPH, RD, LD, CHES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-06",
"last_updated": "2025-12-29",
"certification_date": "2025-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "86048699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.