Individual provider Active NPI

Miriam Wiener, MS, MPH

  • Nutritionist
  • Encino, CA
National Provider Identifier
1164196622
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
ND10642 Issued in FL
Practice address
15604 Vandorf PL
Encino, CA 91436-3902
Phone
(800) 840-6373
Fax
(800) 840-6373
NPI assigned
Aug 6, 2021
Last updated
Dec 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X ND10642 FL Primary

Addresses

Primary practice location

15604 Vandorf PL
Encino, CA 91436-3902

Mailing address

PO Box 32
Beverly Hills, CA 90213-0032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118000125 FL Practitioner - Registered Dietitian Or Nutrition Professional 9335591098 Reassigns benefits to 1 organization
Practice locations: Coral Springs, FL

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Encino, CA 91436
Phone (800) 840-6373

PO Box
Beverly Hills, CA 90213

PO Box
Suite 32
Beverly Hills, CA 90213-0032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
ND10642FLMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
S.T.E.P.S. Nutrition Group, LLC Nutritionist Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1164196622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902130032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15604 VANDORF PL",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363902",
            "telephone_number": "800-840-6373",
            "fax_number": "800-840-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENER",
        "first_name": "MIRIAM",
        "credential": "MS, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "ND10642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.