Individual provider Active NPI

Sabrina Starr Miles, RD

  • Registered Dietitian
  • Longview, TX
National Provider Identifier
1063139137
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT03010 Issued in TX
Practice address
700 E. Marshall Avenue, Suite 3000
Longview, TX 75601-5500
Phone
(903) 315-4400
Fax
(903) 315-2595
NPI assigned
Oct 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT03010 TX Primary

Addresses

Primary practice location

700 E. Marshall Avenue, Suite 3000
Longview, TX 75601-5500

Mailing address

700 E. Marshall Avenue, Suite 3000
Longview, TX 75601-5500
Phone (903) 315-4400

Other practice location 1

703 E Marshall Ave Ste 300
Longview, TX 75601-5500
Phone (903) 315-4400

Other practice location 2

705 E Marshall Ave Ste 5000
Longview, TX 75601-5660
Phone (903) 315-4400

Other names 1

  • Mrs. Sabrina Starr Copeland Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221213000513 TX Practitioner - Registered Dietitian Or Nutrition Professional 8527437623 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT03010TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Jan 17, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 17, 2023 Accepting new patients

Locations

700 E Marshall Ave
Ste 3000
Longview, TX 75601
Phone (903) 315-4400

705 E Marshall Ave
Ste 5000
Longview, TX 75601
Phone (903) 315-1970

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1063139137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E. MARSHALL AVENUE, SUITE 3000",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015500",
            "telephone_number": "903-315-4400",
            "fax_number": "903-315-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E. MARSHALL AVENUE, SUITE 3000",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015500",
            "telephone_number": "903-315-4400",
            "fax_number": "903-315-2595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 E Marshall Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015500",
            "country_code": "US",
            "telephone_number": "903-315-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 E Marshall Ave Ste 5000",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015660",
            "country_code": "US",
            "telephone_number": "903-315-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "SABRINA",
        "middle_name": "STARR",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT03010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SABRINA",
            "last_name": "COPELAND",
            "middle_name": "STARR",
            "prefix": "MRS.",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.