Active NPI
Michelle Herwig Musselwhite, RD, LDN
- Registered Dietitian
- Salisbury, NC
National Provider Identifier
1902824097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L001234
- Practice address
- 612 Mocksville Ave
Salisbury, NC 28144-2732 - Phone
- (704) 210-5261
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- No
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 | L001234 | NC | Primary |
Addresses
Primary practice location
612 Mocksville Ave
Salisbury, NC 28144-2732
Mailing address
2085 Frontis Plaza Boulevard
Winston-Salem, NC 27103
Phone (336) 277-1065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 710000660 | Other | NC | RR MEDICARE |
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 |
|---|---|---|---|
| L001234 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Rowan Medical Center LLC | 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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Salisbury, NC
- NPI 1508843566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264377600000",
"number": "1902824097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2085 FRONTIS PLAZA BOULEVARD",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "27103",
"telephone_number": "336-277-1065",
"fax_number": "336-277-9274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 MOCKSVILLE AVE",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442732",
"telephone_number": "704-210-5261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSSELWHITE",
"first_name": "MICHELLE",
"middle_name": "HERWIG",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2010-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L001234",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "710000660",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.