Active NPI
Carolyn Miller, RD
- Registered Dietitian
- Rockville, MD
National Provider Identifier
1205927548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DX2484
- Practice address
- 1201 Seven Locks Rd
Suite 111
Rockville, MD 20854-2931 - Phone
- (301) 762-5020
- Fax
- (301) 762-7235
- NPI assigned
- Sep 28, 2006
- 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 | DX2484 | MD | Primary |
Addresses
Primary practice location
1201 Seven Locks Rd
Suite 111
Rockville, MD 20854-2931
Mailing address
PO Box 791372
Baltimore, MD 21279-1372
Phone (301) 608-8375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 415096100 | Medicaid | MD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DX2484 | MD | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Physician Group, LLC | Past | Accepting new patients | |
| Robert Lawrence Howard | Dietitian, Registered | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
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.
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- Bethesda, MD
- NPI 1801064704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244419200000",
"number": "1205927548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 791372",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212791372",
"telephone_number": "301-608-8375",
"fax_number": "301-608-3979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 SEVEN LOCKS RD",
"address_2": "SUITE 111",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208542931",
"telephone_number": "301-762-5020",
"fax_number": "301-762-7235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CAROLYN",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2009-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "DX2484",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "415096100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.