Active NPI
Michelle Johnson Hines, R.D.
- Registered Dietitian
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 878146
- Practice address
- 2470 S Val Vista Dr #104
Gilbert, AZ 85295 - Phone
- (602) 770-7611
- NPI assigned
- Dec 14, 2006
- Last updated
- Nov 27, 2018
- 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 | 878146 | IL | Primary |
Addresses
Primary practice location
2470 S Val Vista Dr #104
Gilbert, AZ 85295
Mailing address
3820 W Happy Valley Road #141-187
Glendale, AZ 85310
Phone (602) 770-7611
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andersons Nutrition | Dietitian, Registered | Current | Accepting new patients |
| Andersons Nutrition | Dietitian, Registered | Current | Accepting new patients |
Locations
1166 E Warner Rd
Ste 220
Gilbert, AZ 85296
Phone (623) 306-5832
2470 S Val Vista Dr
Ste 104
Gilbert, AZ 85295
Phone (480) 802-0692
6501 E Greenway Pkwy
Ste 160
Scottsdale, AZ 85254
Phone (480) 365-6603
4700 S Mill Ave
Ste B7
Tempe, AZ 85282
140 Wallace Ave
#105
Downingtown, PA 19335
142 Wallace Ave
#105
Downingtown, PA 19335
Phone (484) 872-2909
Organizations & group practices 2
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": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1609938711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3820 W HAPPY VALLEY ROAD #141-187",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "85310",
"telephone_number": "602-770-7611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2470 S VAL VISTA DR #104",
"city": "GILBERT",
"state": "AZ",
"postal_code": "85295",
"telephone_number": "602-770-7611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "MICHELLE",
"middle_name": "JOHNSON",
"name_prefix": "Ms.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "878146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.