Michaela Lynn Norris, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD.09569 Issued in OH

Practice address

335 Glessner Ave
Mansfield, OH 44903-2269

Phone

(419) 520-2244

NPI assigned

Dec 3, 2021

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1811655152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8349 RICHMAN RD",
            "city": "LODI",
            "state": "OH",
            "postal_code": "442549759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 GLESSNER AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032269",
            "telephone_number": "419-520-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "MICHAELA",
        "middle_name": "LYNN",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.09569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Joaquin Norberto, MD
• Nicole L Norman, INDEPENDENT PROVIDER
• Jade B Norris
• Kaitlan G. Norris
• Kayla Prestine Norris
• North Central Ohio Clinic Inc
• Northern Health Facilities, Inc.
• Carrie Ann Northover, LPN
• Johanna Norwood, LICDC
• Timothy James Nowlin, LPC

• Registered Dietitian in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.