Active NPI
Michelle Berman Ms Rd Cde LLC
- Registered Dietitian
- Mesa, AZ
National Provider Identifier
1750620134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- MICHELLE BERMAN MS RD CDE LLC
- Practice address
- 1237 S Val Vista Dr
Mesa, AZ 85204-6401 - Phone
- (480) 294-6543
- Fax
- (480) 294-6544
- NPI assigned
- Feb 5, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Michelle Berman, M.S., R.D., CDE
- Title
- Owner/Registered Dietition
- Phone
- (480) 216-1635
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1237 S Val Vista Dr
Mesa, AZ 85204-6401
Mailing address
PO Box 1564
Mesa, AZ 85211-1564
Phone (480) 294-6543
National Provider Directory
National Provider DirectoryLocations
1234 S Val Vis Dr
Mesa, AZ 85204
1599 E Orangewood Ave
Ste 100
Phoenix, AZ 85020
Phone (480) 694-6543
1599 E Orangewood Ave
Ste 11
Phoenix, AZ 85020
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447372800000",
"number": "1750620134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1564",
"city": "MESA",
"state": "AZ",
"postal_code": "852111564",
"telephone_number": "480-294-6543",
"fax_number": "480-294-6544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1237 S VAL VISTA DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852046401",
"telephone_number": "480-294-6543",
"fax_number": "480-294-6544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELLE BERMAN MS RD CDE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-05",
"last_updated": "2015-11-13",
"status": "A",
"authorized_official_last_name": "BERMAN",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER/REGISTERED DIETITION",
"authorized_official_telephone_number": "480-216-1635",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.S., R.D., CDE"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.