Individual provider Active NPI

Michelle Johnson Hines, R.D.

  • Registered Dietitian
  • Gilbert, AZ
National Provider Identifier
1609938711
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
878146 Issued in IL
Practice address
2470 S Val Vista Dr #104
Gilbert, AZ 85295
Phone
(602) 770-7611
NPI assigned
Dec 14, 2006
Last updated
Nov 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Andersons Nutrition Dietitian, Registered CurrentSince Jan 15, 2025 Accepting new patients
Andersons Nutrition Dietitian, Registered CurrentSince Jan 15, 2025 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.

Verify at the official NPI Registry.