Active NPI
Michelle D Street, RD
- Registered Dietitian
- Klamath Falls, OR
National Provider Identifier
1881837326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 885
- Practice address
- 5963 Springcrest Way
Klamath Falls, OR 97603-7159 - Phone
- (541) 205-3220
- NPI assigned
- Apr 14, 2009
- Last updated
- Apr 14, 2009
- 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 | 885 | OR | Primary |
Addresses
Primary practice location
5963 Springcrest Way
Klamath Falls, OR 97603-7159
Mailing address
5963 Springcrest Way
Klamath Falls, OR 97603-7159
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar View Health Services | Dietitian, Registered | Past | Accepting new patients |
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": "1239667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239667200000",
"number": "1881837326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5963 SPRINGCREST WAY",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976037159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5963 SPRINGCREST WAY",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976037159",
"telephone_number": "541-205-3220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREET",
"first_name": "MICHELLE",
"middle_name": "D",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-14",
"last_updated": "2009-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.