Active NPI
Christine Coburn Miller, RD
- Pediatric Nutrition Registered Dietitian
- Buffalo, NY
National Provider Identifier
1083910400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- License
- 578495
- Practice address
- 219 Bryant St
Buffalo, NY 14222-2006 - Phone
- (716) 878-7893
- Fax
- (716) 878-7436
- NPI assigned
- Feb 2, 2011
- 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 |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 578495 | NY | Primary |
Addresses
Primary practice location
219 Bryant St
Buffalo, NY 14222-2006
Mailing address
219 Bryant St
Buffalo, NY 14222-2006
Phone (716) 878-7893
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 578495 | Other | NY | RD |
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 |
|---|---|---|---|
| 578495 | NY | MD | Pediatric Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296604800000",
"number": "1083910400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 BRYANT ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142222006",
"telephone_number": "716-878-7893",
"fax_number": "716-878-7436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 BRYANT ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142222006",
"telephone_number": "716-878-7893",
"fax_number": "716-878-7436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBURN MILLER",
"first_name": "CHRISTINE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-02",
"last_updated": "2011-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "NY",
"license": "578495",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RD",
"identifier": "578495",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.