Active NPI
Michelle Amber Burington, RD, CD, CLS
- Registered Dietitian
- Waupaca, WI
National Provider Identifier
1528861234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3139-29
- Practice address
- 419 Wisconsin St
Waupaca, WI 54981-1033 - Phone
- (715) 305-9202
- NPI assigned
- Mar 28, 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 | 3139-29 | WI | Primary |
Addresses
Primary practice location
419 Wisconsin St
Waupaca, WI 54981-1033
Mailing address
419 Wisconsin St
Waupaca, WI 54981-1033
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 |
|---|---|---|---|
| 3139-29 | WI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1743120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1528861234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 WISCONSIN ST",
"city": "WAUPACA",
"state": "WI",
"postal_code": "549811033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 WISCONSIN ST",
"city": "WAUPACA",
"state": "WI",
"postal_code": "549811033",
"telephone_number": "715-305-9202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURINGTON",
"first_name": "MICHELLE",
"middle_name": "AMBER",
"credential": "RD, CD, CLS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-28",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "3139-29",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waupaca, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.