Active NPI
Nicolle Marie Miller, MS, MPH, RD, LDN
- Registered Dietitian
- Cary, NC
National Provider Identifier
1194883009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 942690
- Practice address
- 108 W Dutton CT
Cary, NC 27513-5119 - Phone
- (201) 600-3447
- NPI assigned
- Dec 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 942690 | Primary |
Addresses
Primary practice location
108 W Dutton CT
Cary, NC 27513-5119
Mailing address
108 W Dutton CT
Cary, NC 27513-5119
Phone (201) 600-3447
Other names 1
- Nicolle Marie Clemente
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)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Eating Company LLC | Dietitian, Registered | Past | Accepting new patients |
| Kingley Health Services NJ LLC | Past | 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 and National Provider Directory roles.
-
- Clinical Psychologist
- Iselin, NJ
- NPI 1538497516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1194883009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 W DUTTON CT",
"city": "CARY",
"state": "NC",
"postal_code": "275135119",
"telephone_number": "201-600-3447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 W DUTTON CT",
"city": "CARY",
"state": "NC",
"postal_code": "275135119",
"telephone_number": "201-600-3447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "NICOLLE",
"middle_name": "MARIE",
"credential": "MS, MPH, RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "942690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLLE",
"last_name": "CLEMENTE",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.