Individual provider Active NPI

Michelle Lynn Pollock, RD, LD

  • Registered Dietitian
  • Denton, TX
National Provider Identifier
1992202295
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT84411 Issued in TX
Practice address
3537 S Interstate 35 E Ste 111
Denton, TX 76210
Phone
(940) 800-2565
Fax
(833) 269-3376
NPI assigned
Apr 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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 DT84411 TX Primary

Addresses

Primary practice location

3537 S Interstate 35 E Ste 111
Denton, TX 76210

Mailing address

3537 S Interstate 35 E Ste 111
Denton, TX 76210-6868
Phone (940) 800-2565

Other practice location 1

6957 W Plano Pkwy Ste 2400
Plano, TX 75093-1622
Phone (972) 695-6321

Other practice location 2

3537 S Interstate 35 E Ste 200
Denton, TX 76210-6814
Phone (940) 800-2565

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

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1992202295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 S INTERSTATE 35 E STE 111",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106868",
            "telephone_number": "940-800-2565",
            "fax_number": "833-269-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 S INTERSTATE 35 E STE 111",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76210",
            "telephone_number": "940-800-2565",
            "fax_number": "833-269-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6957 W Plano Pkwy Ste 2400",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750931622",
            "country_code": "US",
            "telephone_number": "972-695-6321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3537 S Interstate 35 E Ste 200",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762106814",
            "country_code": "US",
            "telephone_number": "940-800-2565",
            "fax_number": "833-269-3376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT84411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.