Kevin Todd Miller, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L004365 Issued in NC

Practice address

4503 Radnor Dr
Greensboro, NC 27410-5914

Phone

(919) 896-4647

NPI assigned

Jun 14, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 20, 2024 through Apr 20, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Patient-Centered Nutrition, LLC

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Greensboro, NC
  • NPI 1720779457
  NPD Authorized official

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1124478730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 RADNOR DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274105914",
            "telephone_number": "919-896-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 RADNOR DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274105914",
            "telephone_number": "919-896-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KEVIN",
        "middle_name": "TODD",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-14",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD004617",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L004365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jakira Tanae Miller, LCMHC, LCAS
• James Arthur 'Art' Miller, MD
• Jessica Lee Miller, M.D., MPH
• Joseph L Miller, D.D.S., P.A.
• Kenneth Miller, MSN, AGCNS-BC, OCN
• Kimberly Miller
• Latoyia Miller, M.S.
• Lee Nathaniel Miller Jr.
• Lisa Miller, MD
• Makayla Miller

• Registered Dietitian in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.