Organization Active NPI

Michelle Berman Ms Rd Cde LLC

  • Registered Dietitian
  • Mesa, AZ
National Provider Identifier
1750620134
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Nov 13, 2015

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.