Sophia Grace Michiels, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

37004692A Issued in IN

Practice address

3751 S Wickens St
Bloomington, IN 47403-4595

Phone

(985) 249-8474

NPI assigned

Aug 24, 2026

Last updated

Aug 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Sophia Grace Owens Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1689581084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 S WICKENS ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034595",
            "telephone_number": "985-249-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 S WICKENS ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034595",
            "telephone_number": "985-249-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHIELS",
        "first_name": "SOPHIA",
        "middle_name": "GRACE",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "4131",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37004692A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "OWENS",
            "middle_name": "GRACE",
            "credential": "RDN, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clifford William Meyers, MD
• Brent Edward Mezger, FNP-C
• MFDC of Indiana, Inc (Gentle Dentist - Elletsville)
• Michael J Stribling LLC
• Leah M Michelsen, DPT
• Mallory Mickus
• Midwest Medtranz LLC
• Midwest Optometry Services LLC
• Kirby Miguel
• Brittney Miles

• Registered Dietitian in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.