Active NPI
Michelle Asay Checketts, MPH, RD
- Registered Dietitian
- Eugene, OR
National Provider Identifier
1538494604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 00997847
- Practice address
- 901 E 18TH Ave
Eugene, OR 97403-1354 - Phone
- (541) 974-8281
- NPI assigned
- Oct 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 00997847 | OR | Primary |
Addresses
Primary practice location
901 E 18TH Ave
Eugene, OR 97403-1354
Mailing address
3229 Dapple Way
Eugene, OR 97401-5726
Phone (541) 974-8281
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00997847 | OR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254873600000",
"number": "1538494604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3229 DAPPLE WAY",
"city": "EUGENE",
"state": "OR",
"postal_code": "974015726",
"telephone_number": "541-974-8281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 E 18TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974031354",
"telephone_number": "541-974-8281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHECKETTS",
"first_name": "MICHELLE",
"middle_name": "ASAY",
"credential": "MPH, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-07",
"last_updated": "2009-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "00997847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.