Active NPI
Mikayla Milady Anderson, RD, MS, CDN
- Registered Dietitian
- Lagrangeville, NY
National Provider Identifier
1194573832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 011881-01
- Practice address
- 1131 State Route 55
Lagrangeville, NY 12540-5054 - Phone
- (845) 489-3020
- NPI assigned
- May 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 011881-01 | NY | Primary |
Addresses
Primary practice location
1131 State Route 55
Lagrangeville, NY 12540-5054
Mailing address
1131 State Route 55
Lagrangeville, NY 12540-5054
Phone (203) 794-4183
Other practice location 1
670 Stoneleigh Ave
Carmel, NY 10512-3997
Phone (475) 237-1023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011881-01 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747872000000",
"number": "1194573832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 STATE ROUTE 55",
"city": "LAGRANGEVILLE",
"state": "NY",
"postal_code": "125405054",
"telephone_number": "203-794-4183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 STATE ROUTE 55",
"city": "LAGRANGEVILLE",
"state": "NY",
"postal_code": "125405054",
"telephone_number": "845-489-3020"
}
],
"practiceLocations": [
{
"address_1": "670 Stoneleigh Ave",
"address_purpose": "LOCATION",
"city": "Carmel",
"state": "NY",
"postal_code": "105123997",
"country_code": "US",
"telephone_number": "475-237-1023",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "MIKAYLA",
"middle_name": "MILADY",
"credential": "RD, MS, CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-08",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "011881-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lagrangeville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.