Active NPI
Michelle Cross, LCSW, RD,LD
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1992937452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 36940
- Practice address
- 4810B Spicewood Springs Rd
Austin, TX 78759 - Phone
- (512) 633-2771
- Fax
- (512) 346-8509
- NPI assigned
- Aug 18, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 02455 | TX | |
| Clinical Social Worker | 1041C0700X | 36940 | TX | Primary |
Addresses
Primary practice location
4810B Spicewood Springs Rd
Austin, TX 78759
Mailing address
2308 Lake Austin Blvd
Austin, TX 78703-4546
Phone (512) 469-7676
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 |
|---|---|---|---|
| 36940 | TX | MD | Endodontist |
| 02455 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Texas Nutrition Consultants | 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 and National Provider Directory roles.
-
- Registered Dietitian
- Austin, TX
- NPI 1720105919
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250553600000",
"number": "1992937452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2308 LAKE AUSTIN BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787034546",
"telephone_number": "512-469-7676",
"fax_number": "512-236-1774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4810B SPICEWOOD SPRINGS RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78759",
"telephone_number": "512-633-2771",
"fax_number": "512-346-8509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSS",
"first_name": "MICHELLE",
"credential": "LCSW, RD,LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-18",
"last_updated": "2009-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "02455",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "36940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.