Individual provider Active NPI

Michele Lee Rosbruck, MS, RD, LD

  • Registered Dietitian
  • Atlanta, GA
National Provider Identifier
1538451232
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD003324 Issued in GA
Practice address
176 Ottley Dr NE
Atlanta, GA 30324-3925
Phone
(404) 419-3330
NPI assigned
May 12, 2011
Last updated
May 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD003324 GA Primary

Addresses

Primary practice location

176 Ottley Dr NE
Atlanta, GA 30324-3925

Mailing address

176 Ottley Dr NE
Atlanta, GA 30324-3925
Phone (404) 419-3330

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)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Project Open Hand Atlanta Inc. CurrentSince May 26, 2012 Accepting new patients

Locations

176 Ottley Dr NE
Atlanta, GA 30324
Phone (404) 419-3308

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, 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": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1538451232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 OTTLEY DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243925",
            "telephone_number": "404-419-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 OTTLEY DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243925",
            "telephone_number": "404-419-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSBRUCK",
        "first_name": "MICHELE",
        "middle_name": "LEE",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD003324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.