Active NPI
Michele Lynn Manzie, RD
- Registered Dietitian
- Jacksonville, FL
National Provider Identifier
1831401736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND 5680
- Practice address
- 13823 Jaffa CT
Jacksonville, FL 32224-0282 - Phone
- (904) 557-8543
- NPI assigned
- Jul 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND 5680 | FL | Primary |
Addresses
Primary practice location
13823 Jaffa CT
Jacksonville, FL 32224-0282
Mailing address
13823 Jaffa CT
Jacksonville, FL 32224-0282
Phone (904) 557-8543
Other names 1
- Ms. Michele Lynn Rossmeissl
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND 5680 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278547200000",
"number": "1831401736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13823 JAFFA CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322240282",
"telephone_number": "904-557-8543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13823 JAFFA CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322240282",
"telephone_number": "904-557-8543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANZIE",
"first_name": "MICHELE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-08",
"last_updated": "2010-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND 5680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "ROSSMEISSL",
"middle_name": "LYNN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.