Individual provider Active NPI

Michelle B Uger, RD

  • Registered Dietitian
  • Glendale, AZ
National Provider Identifier
1780936617
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1036290 Issued in AZ
Practice address
17505 N 79TH Ave
Suite 110
Glendale, AZ 85308-8725
Phone
(623) 399-6825
Fax
(623) 505-3474
NPI assigned
Oct 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1036290 AZ Primary

Addresses

Primary practice location

17505 N 79TH Ave
Suite 110
Glendale, AZ 85308-8725

Mailing address

17505 N 79TH Ave
Suite 110
Glendale, AZ 85308-8725
Phone (623) 399-6825

Other names 1

  • Michelle B Chozick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180823001530 OK Practitioner - Registered Dietitian Or Nutrition Professional 2668624230 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

4221 S Western Ave
5050 Integris Gen Surg Southwest
Oklahoma City, OK 73109-3436
Phone (405) 636-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1618OKMDClinical Social Worker
1036290AZMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Well Rooted Health and Nutrition CurrentSince Mar 2, 2022 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince May 12, 2025 Accepting new patients
Banister & Associates LLC CurrentSince Aug 15, 2018 Accepting new patients
Am Nutrition Services Dietitian, Registered PastSince May 15, 2013 Accepting new patients

Locations

10914 Hefner Pointe Dr
Ste 304
Oklahoma City, OK 73120
Phone (405) 608-2772

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

4221 S Western Ave
Ste 5050
Oklahoma City, OK 73109
Phone (405) 635-0222

3555 NW 58th St
Ste 910W
Oklahoma City, OK 73112
Phone (405) 653-9161

4200 W Memorial Rd
Ste 508
Oklahoma City, OK 73120
Phone (405) 752-0611

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1780936617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE",
            "address_2": "SUITE 110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088725",
            "telephone_number": "623-399-6825",
            "fax_number": "623-505-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE",
            "address_2": "SUITE 110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088725",
            "telephone_number": "623-399-6825",
            "fax_number": "623-505-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGER",
        "first_name": "MICHELLE",
        "middle_name": "B",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "1036290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "CHOZICK",
            "middle_name": "B",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.