MICHELLE ROBERTSON (NPI# 1154969251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154969251 |
| Entity Type | Individual |
| Full Name | MICHELLE ROBERTSON |
| Practice Address |
625 E Broadway Ave Jackson WY 83001-8642 |
| Mailing Address |
Po Box 428 Jackson WY 83001-0428 |
| Practice Telephone | 3077397361 |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 192 | WY | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568672350 | Michelle Katalin Robertson | Social Worker | 30 Eastbrook Rd Ste 302, Riverside Community Care, Dedham, MA 02026-2084 | 2007-05-23 |
| 1003433798 | Michelle Robertson | Licensed Vocational Nurse | 400 N Tustin Ave Ste 120, Santa Ana, CA 92705-3879 | 2020-06-29 |
| 1043757271 | Michelle Robertson | Nurse Practitioner | 4301 W Markham St # 520-1, Little Rock, AR 72205-7101 | 2017-01-25 |
| 1508267121 | Michelle Robertson | Counselor | 7601 S Redwood Rd, West Jordan, UT 84084-4007 | 2014-09-15 |
| 1780090407 | Michelle A Robertson | Counselor | 190 Overthrust Rd., Evanston, WY 82930-2910 | 2014-07-02 |
| 1023369436 | Michelle L Robertson | Pharmacist | 4100 Lake Otis Pkwy, Suite #200, Anchorage, AK 99508-5229 | 2012-09-25 |
| 1649562067 | Michelle Robertson | Social Worker | 5965 S 900 E, Murray, UT 84121-1720 | 2011-05-03 |
| 1598994766 | Michelle Frisbee Robertson | Speech-Language Pathologist | 245 Cahaba Valley Pkwy Ste 200, Pelham, AL 35124-2217 | 2009-07-09 |
| 1295914430 | Michelle Williams Robertson | Family Medicine | 170 Frelinghuysen Rd, Piscataway, NJ 08854-8020 | 2007-10-24 |
| 1750407011 | Michelle Robertson | Counselor | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2007-03-21 |
| Street Address |
625 E BROADWAY AVE |
| City | JACKSON |
| State | WY |
| Zip Code | 83001-8642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679534432 | Lars T Conway | Pathology | 625 E Broadway Ave, Jackson, WY 83001-8642 | 2006-03-31 |
| 1942848072 | Anna Sigrid Eide | Dietitian, Registered | 625 E Broadway Ave, Jackson, WY 83001-8642 | 2019-12-19 |
| 1104464734 | Lisa Lauritzen Smith | Dietitian, Registered | 625 E Broadway Ave, Jackson, WY 83001-8642 | 2019-12-13 |
| 1598325193 | Katrina Rush | Occupational Therapist | 625 E Broadway Ave, Jackson, WY 83001-8642 | 2019-06-17 |
| 1669949590 | Elizabeth Smith Dannewald | Nurse Practitioner | 625 E Broadway Ave, Jackson, WY 83001 | 2018-10-29 |
| 1528533973 | Hanna Kirsten | Occupational Therapy Assistant | 625 E Broadway Ave, Jackson, WY 83001-8642 | 2018-10-11 |
| 1891270500 | Jamie Loomis | Physical Therapy Assistant | 625 E Broadway Ave, Jackson, WY 83001-8642 | 2018-09-27 |
| 1942784806 | Jared Travis Martin | Physical Therapy Assistant | 625 E Broadway Ave, Jackson, WY 83001-8642 | 2018-09-17 |
| 1891274320 | Wendy Carbone | Physical Therapist | 625 E Broadway Ave, Jackson, WY 83001-8642 | 2018-08-07 |
| 1144732736 | 4js LLC | Registered Nurse | 625 E Broadway Ave, Jackson, WY 83001-8642 | 2017-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
| 1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
| 1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
| Find all providers in zip 83001 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427780 | Ronald Dwayne Woods | Dietitian, Registered | 1 Ashton Gardens Dr, Jackson, MS 39211-4275 | 2020-11-02 |
| 1033720081 | Allison Kay Lopeman | Dietitian, Registered | 3120 Mccain Rd, Jackson, MI 49203-2506 | 2020-08-13 |
| 1477177723 | Samantha Jo Rogers | Dietitian, Registered | 117 Vanden St Apt 303, Jackson, TN 38301-5638 | 2020-06-02 |
| 1477185817 | Debra Ann Schumer | Dietitian, Registered | 1616 County Road 318, Jackson, MO 63755-8072 | 2020-02-04 |
| 1053956847 | Tori Onita Mincemeyer | Dietitian, Registered | 2630 Old Orchard Rd, Jackson, MO 63755-3824 | 2019-11-15 |
| 1588172829 | Mary K Brighton | Dietitian, Registered | 27 S Cooks Bridge Rd Ste 2-3, Jackson, NJ 08527-2524 | 2018-01-22 |
| 1538673447 | Miriam Benedikt | Dietitian, Registered | 4 Danielle Ct, Jackson, NJ 08527-2928 | 2017-11-30 |
| 1225557598 | Regina Ann Day | Dietitian, Registered | 3800 I 55 North Frontage Road, Jackson, MS 39211 | 2017-09-18 |
| 1912431958 | Angela Raleigh | Dietitian, Registered | 955 Highway 30 W, Jackson, KY 41339-7846 | 2017-04-17 |
| 1134576267 | Candice O'hare | Dietitian, Registered | 1217 Chamberlain Dr, Jackson, MO 63755-2940 | 2016-05-18 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on MICHELLE ROBERTSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.