| Mrs Michelle Ivy, MS, RDN, CDCES | |
|
3637 Capstone Ln, Plano, TX 75074-7742 | |
| (469) 573-0969 | |
| Not Available |
| Full Name | Mrs Michelle Ivy |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 3637 Capstone Ln, Plano, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417316340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 086033574 (Texas) | Primary |
| Provider Name | Michelle Ivy Nutrition LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235757410 PECOS PAC ID: 1153748355 Enrollment ID: O20200902002656 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Michelle Ivy, MS, RDN, CDCES 3637 Capstone Ln, Plano, TX 75074-7742 Ph: (469) 573-0969 | Mrs Michelle Ivy, MS, RDN, CDCES 3637 Capstone Ln, Plano, TX 75074-7742 Ph: (469) 573-0969 |
Jordan Mchenry, RD LD Dietitian Medicare: Medicare Enrolled Practice Location: 700 E Park Blvd Ste 206, Plano, TX 75074 Phone: 972-422-9180 |
Hannah Bjerke, Dietitian Medicare: May Accept Medicare Assignments Practice Location: 400 Chisholm Pl Ste 100, Plano, TX 75075 Phone: 972-422-9180 |
Mrs. Maria-paula Carrillo, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 555 Republic Dr, Suite 200, Plano, TX 75074 Phone: 972-422-9180 |
Ms. Melissa Mendez, RD/LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 400 Chisholm Pl Ste 100, Plano, TX 75075 Phone: 972-422-9180 Fax: 888-821-2292 |
Jacy Ann Amanda Joplin, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2633 Dallas Pkwy, Plano, TX 75093 Phone: 940-390-1894 |
Nancy Ann Davison, MS, RDN, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 400 Chisholm Pl Ste 100, Plano, TX 75075 Phone: 972-422-9180 |
Megan Rodriguez, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4800 Hedgcoxe Rd Ste 200, Plano, TX 75024 Phone: 972-836-7080 |