Individual provider Active NPI

Alicia Michelson

  • Registered Dietitian
  • Santa Barbara, CA
National Provider Identifier
1851894026
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86073903 Issued in CA
Practice address
2219 Bath St
Santa Barbara, CA 93105-4321
Phone
(805) 682-7640
NPI assigned
Mar 14, 2018
Last updated
Mar 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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 86073903 CA Primary

Addresses

Primary practice location

2219 Bath St
Santa Barbara, CA 93105-4321

Mailing address

606 Ricardo Ave
Santa Barbara, CA 93109-1626

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

LicenseStateTypeSpecialty
86073903CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Diabetes Research Institute Single Specialty CurrentSince Feb 16, 2020 Accepting new patients

Locations

2219 Bath St
Santa Barbara, CA 93105
Phone (805) 682-7638

Interoperability endpoints

  • Direct secure messaging: alicia.michelson.1@19661.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1851894026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 RICARDO AVE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931091626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 BATH ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054321",
            "telephone_number": "805-682-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELSON",
        "first_name": "ALICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86073903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.