Active NPI
Miranda G. Hayden, MPH,RD, CSR
- Registered Dietitian
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 13195 Warwick Blvd Ste 2B
Newport News, VA 23602-8313 - Phone
- (757) 570-6588
- Fax
- (757) 534-7801
- NPI assigned
- May 17, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | |||
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
13195 Warwick Blvd Ste 2B
Newport News, VA 23602-8313
Mailing address
13195 Warwick Blvd Ste 2B
Newport News, VA 23602-8313
Phone (757) 570-6588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040612000680 | VA | Practitioner - Registered Dietitian Or Nutrition Professional | 7810970480 | Practice locations: Newport News, VA |
| I20190507003070 | NC | Practitioner - Registered Dietitian Or Nutrition Professional | 7810970480 | Practice locations: Fayetteville, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
13195 Warwick Blvd
Suite 2B
Newport News, VA 23602-8313
Phone (757) 570-6588
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition Therapy Works | Nutrition, Renal | Current | Accepting new patients |
Locations
13195 Warwick Blvd
Ste 2B
Newport News, VA 23602
Phone (757) 570-6588
Organizations & group practices 1
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.
-
- Renal Nutrition Registered Dietitian
- Newport News, VA
- NPI 1962924910
Nutrition, Renal
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522540800000",
"number": "1174730121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13195 WARWICK BLVD STE 2B",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236028313",
"telephone_number": "757-570-6588",
"fax_number": "757-534-7801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13195 WARWICK BLVD STE 2B",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236028313",
"telephone_number": "757-570-6588",
"fax_number": "757-534-7801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYDEN",
"first_name": "MIRANDA",
"middle_name": "G.",
"name_prefix": "Mrs.",
"credential": "MPH,RD, CSR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2018-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2018; 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.