| Michelle R Irvin, RD CDE | |
|
7 Higate Ln, Simsbury, CT 06070-1005 | |
| (402) 612-4097 | |
| Not Available |
| Full Name | Michelle R Irvin |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 7 Higate Ln, Simsbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366626897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 001790 (Iowa) | Primary |
| Provider Name | Nutrition In Motion |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548437312 PECOS PAC ID: 7416091996 Enrollment ID: O20220228001725 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle R Irvin, RD CDE 7 Higate Ln, Simsbury, CT 06070-1005 Ph: (402) 612-4097 | Michelle R Irvin, RD CDE 7 Higate Ln, Simsbury, CT 06070-1005 Ph: (402) 612-4097 |
Motivated Concepts, Llc Dietitian Medicare: Medicare Enrolled Practice Location: 720 Hopmeadow St Ste 4, Simsbury, CT 06070 Phone: 860-324-8963 | |
Ms. Kelly Ann Forman, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 41 Simsbury Lndg, Simsbury, CT 06070 Phone: 203-216-9932 | |
Mrs. Lisa Hope Cooperman, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8 Wilcox St, Simsbury, CT 06070 Phone: 860-830-7855 | |
Nourished Life, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11 Woods Ln, Simsbury, CT 06070 Phone: 860-810-9439 |