Individual provider Active NPI

Michelle Lynn Esposito, RD, CSP, LDN, CNSC

  • Pediatric Nutrition Registered Dietitian
  • Memphis, TN
National Provider Identifier
1619505724
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X
License
2776 Issued in TN
Practice address
1St Floor Research Center - 50 North Dunlap St
Memphis, TN 38103
Phone
(901) 287-5949
Fax
(901) 287-5123
NPI assigned
Apr 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nutrition Registered Dietitian 133VN1004X 2776 TN Primary

Addresses

Primary practice location

1St Floor Research Center - 50 North Dunlap St
Memphis, TN 38103

Mailing address

1St Floor Research Center - 50 North Dunlap St
Memphis, TN 38103
Phone (901) 287-5949

Other practice location 1

2553 Germanwood Ln
Germantown, TN 38138-6023
Phone (901) 488-7993

Other names 1

  • Michelle Lynn Esposito Professional name

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

LicenseStateTypeSpecialty
2776TNMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1619505724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1ST FLOOR RESEARCH CENTER - 50 NORTH DUNLAP ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38103",
            "telephone_number": "901-287-5949",
            "fax_number": "901-287-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1ST FLOOR RESEARCH CENTER - 50 NORTH DUNLAP ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38103",
            "telephone_number": "901-287-5949",
            "fax_number": "901-287-5123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2553 Germanwood Ln",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381386023",
            "country_code": "US",
            "telephone_number": "901-488-7993",
            "fax_number": "901-287-5123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPOSITO",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "RD, CSP, LDN, CNSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "TN",
            "license": "2776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "ESPOSITO",
            "middle_name": "LYNN",
            "credential": "RD, CSP, LDN, CNSC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.