Active NPI
Melinda Frances Miller, RDN, LD
- Gerontological Nutrition Registered Dietitian
- Medina, OH
National Provider Identifier
1083331037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontological Nutrition Registered Dietitian
- License
- 4596
- Practice address
- 1145 Chapman LN
Medina, OH 44256-7081 - Phone
- (440) 476-7734
- NPI assigned
- Oct 20, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gerontological Nutrition Registered Dietitian | 133VN1101X | 4596 | OH | Primary |
Addresses
Primary practice location
1145 Chapman LN
Medina, OH 44256-7081
Mailing address
1145 Chapman LN
Medina, OH 44256-7081
Phone (440) 476-7734
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4596 | OH | MD | Psychologist |
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": "1666224000000",
"number": "1083331037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 CHAPMAN LN",
"city": "MEDINA",
"state": "OH",
"postal_code": "442567081",
"telephone_number": "440-476-7734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 CHAPMAN LN",
"city": "MEDINA",
"state": "OH",
"postal_code": "442567081",
"telephone_number": "440-476-7734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MELINDA",
"middle_name": "FRANCES",
"credential": "RDN, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-20",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1101X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Gerontological",
"state": "OH",
"license": "4596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.