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MICHELLE HOOVER
NPI 1518020254
Dietitian, Registered - Nutrition, Pediatric in Edwardsville, IL

Active since December 17, 2006
3540 BLACK OAK LN, EDWARDSVILLE, IL 62025(618) 334-0402(618) 659-3948 Get Directions Write a Review

NPPES record last updated: December 19, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michelle Hoover NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE HOOVER (NPI 1518020254) is a healthcare organization registered as a nutrition, pediatric in Edwardsville, Illinois and active in the NPI registry since December 2006. The organization lists Michelle Denise Hoover, Registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1518020254
Entity TypeOrganization
Primary Taxonomy133VN1004X
Legal Business NameMICHELLE HOOVER MS MANAGEMENT
Location Address3540 BLACK OAK LNEdwardsville, IL 62025-7034
Mailing Address3540 Black Oak LnEdwardsville, IL 62025-7034 · (618) 334-0402 · Fax (618) 659-3948
Phone(618) 334-0402
Fax(618) 659-3948
Organization SubpartNo
Authorized OfficialMichelle Denise HooverRegistered Dietitian · (618) 334-0402
Enumeration DateDecember 17, 2006
Last NPPES UpdateDecember 19, 2018
✔ NPI 1518020254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers
Taxonomy Code133VN1004X
License✔ Licensed in MO · 2001023440
Definition

An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.

Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X · License 164003233 (IL)
3540 BLACK OAK LN, Edwardsville, IL 62025
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Other Names 1

Doing Business AsMichelle Hoover

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MICHELLE DENISE HOOVER MA, RD, LDN
Dietitian, Registered
3540 BLACK OAK LN
EDWARDSVILLE, IL 62025
Madison County (618) 334-0402
TANIKA HARPER-HOOVER
Developmental Therapist
3540 BLACK OAK LN
EDWARDSVILLE, IL 62025
Madison County (850) 276-6425

Frequently Asked Questions

What is MICHELLE HOOVER MS MANAGEMENT's NPI number?

The NPI number assigned to this healthcare provider is 1518020254, enumerated as an "organization" on December 17, 2006.

Where is the provider located?

The provider is located at 3540 BLACK OAK LN EDWARDSVILLE, IL 62025 and the phone number is (618) 334-0402.

What is the provider's specialty?

Dietitian, Registered with taxonomy code 133VN1004X and a focus in Nutrition, Pediatric.