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Michael Tan , RD

Dietitian, Registered β€’ Gainesville, FL

Active NPI 1639619703 Individual Practitioner Male Practitioner
Practice location in NPPES

1600 Sw Archer Rd
Gainesville, FL 326103003

Call 3522650111 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1600 Sw Archer Rd

Gainesville, FL 326103003

Telephone 3522650111
Organization at the Same NPPES Address or Phone
Faculty Associates, Inc Facility NPI 1659322014

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Burlington, MA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Michael Tan has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Gainesville and Florida

138 active clinicians are listed under Dietitian, Registered with a practice address in Gainesville, FL (3,443 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gainesville

0.7% of these 138 clinicians have the CMS telehealth indicator.

2.9% of these 138 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-12-05
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES FL ND8457

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES MA 4252

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL

Medicare Enrollment ID

I20180817001134

Enrollment State Jurisdiction

FL

PECOS Control ID

7911256391

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

Lahey Hospital And Medical Ctr, 41 Mall Road

Burlington, MA 018050001

Phone: 7817448944

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

10 listed
Barbara Allen , ARNP

Nurse Practitioner - Women's Health

NPI 1013257583

Advanced Registered Nurse Practitioner

Chelsea Dose , APRN

Nurse Practitioner - Gerontology

NPI 1114791407

Advanced Practice Registered Nurse

Pandora Driscoll , APRN

Nurse Practitioner - Family

NPI 1053962258

Advanced Practice Registered Nurse

Zachary Gennaro

Nurse Anesthetist, Certified Registered

NPI 1043877210
Charity Hallahan , APRN

Nurse Practitioner - Acute Care

NPI 1114776606

Advanced Practice Registered Nurse

Shawna Lord , MS, ARNP, FNP-BC

Nurse Practitioner - Family

NPI 1033604822

Master of Science, Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location December 05, 2025

Registered at 1600 SW ARCHER RD, GAINESVILLE, FL 326103003 (Tel: 3522650111)

πŸ“
Updated Business Mailing Address December 05, 2025

Registered at PO BOX 100296, GAINESVILLE, FL 326100296 (Tel: 3526279350)

πŸ“
Updated Business Mailing Address July 03, 2018

Registered at PO BOX 100325, GAINESVILLE, FL 326100325 (Tel: 3522650111)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2018

Dietitian, Registered (license number reported to NPPES: FL ND8457)

βœ…
NPI Profile Active March 08, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 08, 2017

Registered at LAHEY HOSPITAL AND MEDICAL CTR, 41 MALL ROAD, BURLINGTON, MA 018050001 (Tel: 7817448944)

πŸ“
Business Mailing Address (Initial Record) March 08, 2017

Registered at LAHEY HOSPITAL AND MEDICAL CTR, 41 MALL ROAD, BURLINGTON, MA 018050001 (Tel: 7817448944)

πŸ‘€
Provider Name / Credentials (Initial Record) March 08, 2017

Recorded as MICHAEL TAN, RD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2017

Dietitian, Registered (license number reported to NPPES: MA 4252)

🟒
Initial NPI Registration & Enumeration March 08, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639619703
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2017
Last Update: December 05, 2025
Sole Proprietor: No

Other Dietitian, Registereds in Gainesville

Healthcare providers in Gainesville

Mailing Address

Po Box 100296

Gainesville, FL 326100296

Phone: 3526279350

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.