Active NPI
Michelle McErlean
- Registered Dietitian
- Virginia Beach, VA
National Provider Identifier
1497336671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 868431
- Practice address
- 2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178 - Phone
- (757) 507-2715
- NPI assigned
- Apr 19, 2021
- 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 | 868431 | VA | Primary |
Addresses
Primary practice location
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178
Mailing address
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178
Phone (757) 507-2715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6875147 | Other | DPRP ASSIGNED ORGANIZATIONAL CODE |
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 |
|---|---|---|---|
| 868431 | VA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1497336671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 GLENN MITCHELL DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234560178",
"telephone_number": "757-507-2715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 GLENN MITCHELL DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234560178",
"telephone_number": "757-507-2715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCERLEAN",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-19",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": "868431",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPRP ASSIGNED ORGANIZATIONAL CODE",
"identifier": "6875147",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.