Active NPI
Michelle Nemeth
- Registered Dietitian
- Huntington Beach, CA
National Provider Identifier
1871004705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 911931
- Practice address
- 18504 Beach Blvd
Huntington Beach, CA 92648-0901 - Phone
- (714) 654-2427
- NPI assigned
- Oct 18, 2017
- Last updated
- Jun 16, 2018
- 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 | 911931 | CA | Primary |
Addresses
Primary practice location
18504 Beach Blvd
Huntington Beach, CA 92648-0901
Mailing address
18504 Beach Blvd, #423
Huntington Beach, CA 92648
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 911931 | Medicaid | CA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 911931 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1871004705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18504 BEACH BLVD, #423",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "92648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18504 BEACH BLVD",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926480901",
"telephone_number": "714-654-2427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMETH",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-18",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "911931",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "911931",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.