Active NPI
Michelle Phillips
- Registered Dietitian
- South Daytona, FL
National Provider Identifier
1699684274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND150
- Practice address
- 519 Brook Cir
South Daytona, FL 32119-8518 - Phone
- (386) 299-0799
- NPI assigned
- Sep 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | ND150 | FL | Primary |
Addresses
Primary practice location
519 Brook Cir
South Daytona, FL 32119-8518
Mailing address
519 Brook Cir
South Daytona, FL 32119-8518
Phone (386) 299-0799
Other names 1
- Michelle Hollenbeck
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1699684274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 BROOK CIR",
"city": "SOUTH DAYTONA",
"state": "FL",
"postal_code": "321198518",
"telephone_number": "386-299-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 BROOK CIR",
"city": "SOUTH DAYTONA",
"state": "FL",
"postal_code": "321198518",
"telephone_number": "386-299-0799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "HOLLENBECK",
"code": "1",
"type": "Former Name"
}
]
}Other providers in South Daytona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.