Michelle Benvie, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3098 Issued in MA

Practice address

228 Columbia Rd
D3
Hanover, MA 02339

Phone

(617) 479-0500

Fax

(617) 302-2144

NPI assigned

Apr 5, 2016

Last updated

Dec 8, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Fiske Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1477916500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 COLUMBIA RD",
            "address_2": "D3",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "02339",
            "telephone_number": "617-479-0500",
            "fax_number": "617-302-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 COLUMBIA RD",
            "address_2": "D3",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "02339",
            "telephone_number": "617-479-0500",
            "fax_number": "617-302-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENVIE",
        "first_name": "MICHELLE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "3098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "FISKE",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Registered Dietitian in Hanover, MA
• Providers in Hanover, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.