Justine Brook Miller, MA, RDN, CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

37002204A Issued in IN

Practice address

710 S 13TH St
Goshen, IN 46526-4134

Phone

(989) 326-8523

NPI assigned

Oct 15, 2015

Last updated

Oct 15, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1013388131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S 13TH ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S 13TH ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264134",
            "telephone_number": "989-326-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JUSTINE",
        "middle_name": "BROOK",
        "credential": "MA, RDN, CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37002204A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Miller
• Heather Elaine Miller, D.C.
• Jason Miller
• Jean Miller, LCSW, LMFT
• Jennifer A Miller, MSW, LCSW
• Karissa Miller, MSW
• Leah R Miller, N.P.
• Lexi Miller, DC
• Matthew R Misner, D.O.
• Amy Jo Moore

• Registered Dietitian in Goshen, IN
• Providers in Goshen, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.