Stephanie Michelle Michael, MS, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

60794582 Issued in WA

Practice address

615 7TH Ave # 17
Longview, WA 98632-1606

Phone

(808) 870-3389

NPI assigned

Aug 27, 2019

Last updated

Aug 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1760030456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 7TH AVE # 17",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986321606",
            "telephone_number": "808-870-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 7TH AVE # 17",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986321606",
            "telephone_number": "808-870-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "MS, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "60794582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leila Hotaki Mesch, M.D.
• Alison Metcalf, AU.D
• David Michael Meyer, SUDPT
• Norine A Meyer, LICSW
• David Jay Meyers, DDS
• Caley Michaud, SUDPT
• Tera Lee Middlebrook, LMHC
• Jacob Miller
• Mary Elizabeth Miller
• Monica Miller, RD, LD, CDE

• Registered Dietitian in Longview, WA
• Providers in Longview, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.