Michelle Paige Ryan, ACN

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

3944 Ranch Road 620 S Ste 100
Bee Cave, TX 78738-7000

Phone

(512) 965-3912

Fax

(737) 225-8927

NPI assigned

Feb 17, 2022

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

Electronic endpoints 1

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": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1760137806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3944 RANCH ROAD 620 S STE 100",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787387000",
            "telephone_number": "512-965-3912",
            "fax_number": "737-225-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3944 RANCH ROAD 620 S STE 100",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787387000",
            "telephone_number": "512-965-3912",
            "fax_number": "737-225-8927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21017 Cedar Ln",
            "address_purpose": "LOCATION",
            "city": "Spicewood",
            "state": "TX",
            "postal_code": "786691738",
            "country_code": "US",
            "telephone_number": "512-965-3912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "MICHELLE",
        "middle_name": "PAIGE",
        "credential": "ACN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://aliveandwellemr.md-hq.com/",
            "affiliation": "N",
            "endpointDescription": "Cerbo",
            "address_1": "3944 Ranch Road 620 S Ste 100",
            "city": "Bee Cave",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787387000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Nutritionist in Bee Cave, TX
• Providers in Bee Cave, TX by specialty
• Nutritionist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.