Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michele Phulsuksombati, MS, MED, RD

Individual provider Registered Dietitian · NPI 1386014819

Michele Phulsuksombati, MS, MED, RD is a Registered Dietitian OR Nutrition Professional in Frederick, Maryland. Qualified in 2007, 19 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
19
Licensed in
MD
In the registry since
2015
What do these letters mean?
MS — Master of Science
A graduate science degree.
MED — Master of Education
A graduate education degree, written M.Ed.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

8200 Blue Heron Dr 2D
Frederick, MD 21701-9358
Phone: (301) 788-5392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DX3822 (MD)

Record details

NPI number1386014819
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , MED , RD
Sole proprietorYes
NPI enumeratedSeptember 26, 2015
Last updated in NPPESSeptember 6, 2022
Certification dateSeptember 6, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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