Active NPI
Michelle Dianne Shultz, R.D., L.D.
- Registered Dietitian
- Oklahoma City, OK
National Provider Identifier
1558320804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 927
- Practice address
- 925 NE 8TH Street
Oklahoma City, OK 73104 - Phone
- (405) 236-3043
- Fax
- (405) 239-2390
- NPI assigned
- Mar 23, 2006
- 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 | 927 | OK | Primary |
Addresses
Primary practice location
925 NE 8TH Street
Oklahoma City, OK 73104
Mailing address
925 NE 8TH Street
Oklahoma City, OK 73104
Phone (405) 236-3043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LD927 | Other | OK | OKLAHOMA STATE BOARD OF MEDICAL LICENSR |
Other names 1
- Michelle Dianne Hildebrand
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 927 | OK | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sodexo Operations LLC | Dietitian, Registered | Past | Accepting new patients |
| Dva Renal Healthcare Inc | Past | Accepting new patients | |
| Dva Renal Healthcare Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Heartland Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Oklahoma City, OK
- NPI 1093777344
-
dba Red Mountain Home Training Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Birmingham, AL
- NPI 1629415609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1558320804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 NE 8TH STREET",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73104",
"telephone_number": "405-236-3043",
"fax_number": "405-239-2390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 NE 8TH STREET",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73104",
"telephone_number": "405-236-3043",
"fax_number": "405-239-2390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULTZ",
"first_name": "MICHELLE",
"middle_name": "DIANNE",
"credential": "R.D., L.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "927",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA STATE BOARD OF MEDICAL LICENSR",
"identifier": "LD927",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "HILDEBRAND",
"middle_name": "DIANNE",
"credential": "R.D., L.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.