Active NPI
Michelle M Donovan, MS, RD, LDN
- Registered Dietitian
- Collegeville, PA
National Provider Identifier
1538504147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN001976
- Practice address
- 430 Dolores Dr
Collegeville, PA 19426-1111 - Phone
- (610) 329-6978
- NPI assigned
- May 8, 2013
- 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 | DN001976 | PA | Primary |
Addresses
Primary practice location
430 Dolores Dr
Collegeville, PA 19426-1111
Mailing address
430 Dolores Dr
Collegeville, PA 19426-1111
Phone (610) 329-6978
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1538504147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 DOLORES DR",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "194261111",
"telephone_number": "610-329-6978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 DOLORES DR",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "194261111",
"telephone_number": "610-329-6978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "MICHELLE",
"middle_name": "M",
"credential": "MS, RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-08",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN001976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Collegeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.