Active NPI
Andrea Marie Miller, R.D., L.D.
- Registered Dietitian
- Archbold, OH
National Provider Identifier
1063796365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD.6803
- Practice address
- 121 Westfield Dr Ste 1
Archbold, OH 43502-1005 - Phone
- (419) 445-2015
- Fax
- (419) 445-8102
- NPI assigned
- Oct 5, 2011
- Last updated
- May 12, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD.6803 | OH | Primary |
Addresses
Primary practice location
121 Westfield Dr Ste 1
Archbold, OH 43502-1005
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other names 1
- Miss Andrea Marie Pietrykowski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Bryan, OH
- NPI 1619915170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1063796365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR # 117",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 WESTFIELD DR STE 1",
"city": "ARCHBOLD",
"state": "OH",
"postal_code": "435021005",
"telephone_number": "419-445-2015",
"fax_number": "419-445-8102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ANDREA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "R.D., L.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-05",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD.6803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "PIETRYKOWSKI",
"middle_name": "MARIE",
"prefix": "MISS",
"credential": "R.D., L.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Archbold, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.