Active NPI
Michaela Spencer
- Registered Dietitian
- Ellwood City, PA
National Provider Identifier
1588466791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN007220
- Practice address
- 425 Division Ave
Ellwood City, PA 16117-2810 - Phone
- (724) 714-4476
- NPI assigned
- Mar 26, 2025
- Last updated
- Mar 26, 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 | DN007220 | PA | Primary |
Addresses
Primary practice location
425 Division Ave
Ellwood City, PA 16117-2810
Mailing address
425 Division Ave
Ellwood City, PA 16117-2810
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 |
|---|---|---|---|
| DN007220 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1588466791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 DIVISION AVE",
"city": "ELLWOOD CITY",
"state": "PA",
"postal_code": "161172810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 DIVISION AVE",
"city": "ELLWOOD CITY",
"state": "PA",
"postal_code": "161172810",
"telephone_number": "724-714-4476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "MICHAELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-26",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN007220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellwood City, PA
- Mary Skalski, LPC, NCC RETIRED, MA
- Daniel Walter Slack
- Abigail Smiley, BSN, RN
- Lisa Ann Smiley, PERSONAL CARE TAKER
- Victoria Noel Smock, M.ED, BCBA, LBS
- Jodie Stratton
- Thrift Drug Inc (Rite Aid Pharmacy 10992)
- Total Renal Care Inc (Ellwood City Dialysis)
- Treehouse Speech and Rehabilitation LLC
- Upmc Community Medicine Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.