Active NPI
Holly Ann Bishop Michaels, RD
- Registered Dietitian
- Burlington, WY
National Provider Identifier
1942664867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 214
- Practice address
- 962 Lane 42 1/2
Burlington, WY 82411-9713 - Phone
- (801) 836-3337
- NPI assigned
- Apr 6, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 288617 | KY | |
| Registered Dietitian | 133V00000X | MED-NUTR-LIC-128403 | MT | |
| Registered Dietitian | 133V00000X | 7109563-4901 | UT | |
| Registered Dietitian | 133V00000X | 214 | WY | Primary |
Addresses
Primary practice location
962 Lane 42 1/2
Burlington, WY 82411-9713
Mailing address
962 Lane 42 1/2
Burlington, WY 82411-9713
Phone (801) 836-3337
Other names 1
- Holly Ann Bishop
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
| License | State | Type | Specialty |
|---|---|---|---|
| 288617 | KY | MD | Registered Dietitian |
| MED-NUTR-LIC-128403 | MT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705104000000",
"number": "1942664867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "962 LANE 42 1/2",
"city": "BURLINGTON",
"state": "WY",
"postal_code": "824119713",
"telephone_number": "801-836-3337",
"fax_number": "801-812-5034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "962 LANE 42 1/2",
"city": "BURLINGTON",
"state": "WY",
"postal_code": "824119713",
"telephone_number": "801-836-3337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAELS",
"first_name": "HOLLY",
"middle_name": "ANN BISHOP",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-06",
"last_updated": "2024-01-13",
"certification_date": "2024-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "288617",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MT",
"license": "MED-NUTR-LIC-128403",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "UT",
"license": "7109563-4901",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WY",
"license": "214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HOLLY",
"last_name": "BISHOP",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Burlington, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.