Carolyn Victoria Milles, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI1348 Issued in ME

Practice address

510 Main St
Gorham, ME 04038-1339

Phone

(207) 370-7787

Fax

(844) 231-8920

NPI assigned

Jun 21, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Carolyn Hatch Former name

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

CvwellbeingGroup PAC ID 4880090224, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cvwellbeing

  • Registered Dietitian
  • Gorham, ME
  • NPI 1972151553

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194245209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 QUALEY RD",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040397707",
            "telephone_number": "508-965-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 MAIN ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381339",
            "telephone_number": "207-370-7787",
            "fax_number": "844-231-8920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 Qualey Rd",
            "address_purpose": "LOCATION",
            "city": "Gray",
            "state": "ME",
            "postal_code": "040397707",
            "country_code": "US",
            "telephone_number": "508-965-0875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLES",
        "first_name": "CAROLYN",
        "middle_name": "VICTORIA",
        "credential": "RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "NU4313",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DI1348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "HATCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Denise Merrill, LMSW-CC
• Frederick Douglas Mesloh, DDS
• Karl A Miller, D.O.
• Kathleen Miller, M.S., CCC-SLP
• Rachel Rose Miller, DNP, FNP-C
• Mindful Mealtimes
• Danielle Miville, LCSW
• Mohammed Beshir
• Michael J Moras, DPT
• Morgan Dental Care

• Registered Dietitian in Gorham, ME
• Providers in Gorham, ME by specialty
• Registered Dietitian in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.