Michelle Nussbaum, MS, RDN, CDCES

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.007405 Issued in IL

Practice address

1713 W Julian St Apt 3F
Chicago, IL 60622-7920

Phone

(847) 530-2853

NPI assigned

Feb 15, 2023

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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nourish, Inc.Group PAC ID 1557724937, 288 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Jonathan Larson MD PC

  • Adult Health Nurse Practitioner
  • Columbus, OH
  • NPI 1487334843

  TX

  Medicare reassignment
• Central Texas Holistic Care PLLC

  • Family Nurse Practitioner
  • Killeen, TX
  • NPI 1568295616
  NPD (past)
• Marjorie Nolan Cohn LLC

  • Registered Dietitian
  • New York, NY
  • NPI 1760825160

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1518664036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 W JULIAN ST APT 3F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606227920",
            "telephone_number": "847-530-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 W JULIAN ST APT 3F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606227920",
            "telephone_number": "847-530-2853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2719 S El Camino Real",
            "address_purpose": "LOCATION",
            "city": "San Clemente",
            "state": "CA",
            "postal_code": "926723354",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUSSBAUM",
        "first_name": "MICHELLE",
        "credential": "MS, RDN, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.007405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imad Nouraddin Nuseir
• Cheryl Lynn Nuss, NURSE PRACTITIONER
• Jan H Nussbaum, PH.D.
• Jodi Nussbaum, RN, BSN, IBCLC
• Karin Michelle Nussbaum, PH.D.
• Steven Nussbaum, MD
• Zoe Nussbaum
• Holly Nusser, MS, RDN
• Larone Nutall
• Edith A Nutescu, PHARM.D.

• Registered Dietitian in Chicago, IL
• Providers in Chicago, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.