| Michelle Buie Henrickson, RD | |
|
1910 Jake Alexander Blvd W Ste 201, Salisbury, NC 28147-1165 | |
| (704) 638-8631 | |
| (704) 638-8639 |
| Full Name | Michelle Buie Henrickson |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 34 Years |
| Location | 1910 Jake Alexander Blvd W Ste 201, Salisbury, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699184077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (North Carolina) | Secondary |
| 133V00000X | Dietitian, Registered | L001050 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Medical Group, Llc | 1153234893 | 2144 |
| Provider Name | Novant Health Medical Group, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Buie Henrickson, RD Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 638-8631 | Michelle Buie Henrickson, RD 1910 Jake Alexander Blvd W Ste 201, Salisbury, NC 28147-1165 Ph: (704) 638-8631 |
Amy Kaye Matsumoto, RD Dietitian Medicare: Medicare Enrolled Practice Location: 501 N Main St, Salisbury, NC 28144 Phone: 980-330-6808 Fax: 980-330-6938 | |
Chloe Blaine Cockeram, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 501 N Main St, Salisbury, NC 28144 Phone: 980-330-6808 | |
Ashlyn Troutman Wece, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1601 Brenner Ave, Salisbury, NC 28144 Phone: 704-638-9000 | |
Ebow Bruce-mensah, MS, RDN, LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 501 N Main St, Salisbury, NC 28144 Phone: 980-330-6808 Fax: 980-330-6938 | |
Anne Richardson, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 501 N Main St, Salisbury, NC 28144 Phone: 989-330-6808 | |
Beverly Warner, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1608 Brenner Ave, Salisbury, NC 28144 Phone: 704-638-9000 | |
Barbara Liles, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1601 Brenner Ave, Salisbury, NC 28144 Phone: 704-638-9000 |