Melissa R Miller, RD, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT86059 Issued in TX

Practice address

11128 Sheffield Dr
Anna, TX 75409-7670

Phone

(214) 578-9168

NPI assigned

May 4, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Missy R Miller Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Missy and Clark Miller LLC

  • Registered Dietitian
  • Anna, TX
  • NPI 1720843725

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1124717129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11128 SHEFFIELD DR",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754097670",
            "telephone_number": "214-578-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11128 SHEFFIELD DR",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754097670",
            "telephone_number": "214-578-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MELISSA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "RD, RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT86059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISSY",
            "last_name": "MILLER",
            "middle_name": "R",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Medical City Surgery Center North Texas, LLC
• Andrew Melonakos
• Charlene Foster Merritt, BS, RPH
• Amanda M Meusborn
• Amanfa Miller
• Missy and Clark Miller LLC
• Melissa Louise Mitchell, MSN, APRN, FNP-C
• Miles Mock, OTR/L
• Taylor Morris, LMSW
• My Dr Now Texas PLLC

• Registered Dietitian in Anna, TX
• Providers in Anna, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.