Michelle A Berman, MS, RDN, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

805576 Issued in AZ

Practice address

1237 S Val Vista Dr
Mesa, AZ 85204-6401

Phone

(480) 294-6543

Fax

(480) 294-6544

NPI assigned

May 24, 2006

Last updated

Mar 30, 2015By the provider in NPPES

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20220/brand/1/csg/1/fhir/r4

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

• Michelle Berman Ms Rd Cde LLC

  • Registered Dietitian
  • Mesa, AZ
  • NPI 1750620134
  Authorized official Same address or phone

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1841245172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1564",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852111564",
            "telephone_number": "480-294-6543",
            "fax_number": "480-294-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 S VAL VISTA DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046401",
            "telephone_number": "480-294-6543",
            "fax_number": "480-294-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "credential": "MS, RDN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "805576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS",
            "identifier": "21110036",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167785",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "805576",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven R Bergman, DO
• Wendy Bergman, PT
• Michael Bergstrom, LMFT
• Mary Angelique Noelle Berina, NMD
• Marc J Berkowitz, MD
• Danny Bermudez, LAC
• Ashtyn Bernard
• Jeffrey Bernardy, D.D.S.
• Gregory Jude Bernier, MASSAGE THERIPIST
• Bernstein Nikroo Elite Sports Chiropractic (Elite Sports Medicine)

• Registered Dietitian in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.