Active NPI
Colette Muller
- Registered Dietitian
- Clovis, NM
National Provider Identifier
1083039689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 208 W DL Ingram Ave, 27Somdg
Cannon AFB
Clovis, NM 88103-5014 - Phone
- (575) 784-1003
- NPI assigned
- Feb 19, 2014
- 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 | Primary |
Addresses
Primary practice location
208 W DL Ingram Ave, 27Somdg
Cannon AFB
Clovis, NM 88103-5014
Mailing address
13847 Horsefall Ave SE
Rainier, WA 98576-9718
Phone (518) 779-3574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413849600000",
"number": "1083039689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13847 HORSEFALL AVE SE",
"city": "RAINIER",
"state": "WA",
"postal_code": "985769718",
"telephone_number": "518-779-3574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 W DL INGRAM AVE, 27SOMDG",
"address_2": "CANNON AFB",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881035014",
"telephone_number": "575-784-1003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLER",
"first_name": "COLETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-19",
"last_updated": "2014-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.