Active NPI
Brenda A Milliken, RD,LD
- Registered Dietitian
- Wheeling, WV
National Provider Identifier
1215283445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 835
- Practice address
- 2000 Eoff St
Wheeling, WV 26003-3823 - Phone
- (304) 234-0123
- NPI assigned
- Jul 25, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 835 | WV | Primary |
| Registered Dietitian | 133V00000X | LD..5535 | OH |
Addresses
Primary practice location
2000 Eoff St
Wheeling, WV 26003-3823
Mailing address
2000 Eoff St
Wheeling, WV 26003-3823
Phone (304) 234-0123
Other names 1
- Brenda A Smith
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
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD..5535 | OH | MD | Registered Dietitian |
| 835 | WV | MD | Registered Dietitian |
| 5535 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Trinity Hospital Holding Company | 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.
-
dba Acute Care West
- General Acute Care Hospital
- Steubenville, OH
- NPI 1285715144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343174400000",
"number": "1215283445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 EOFF ST",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033823",
"telephone_number": "304-234-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 EOFF ST",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033823",
"telephone_number": "304-234-0123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLIKEN",
"first_name": "BRENDA",
"middle_name": "A",
"credential": "RD,LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-25",
"last_updated": "2012-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WV",
"license": "835",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD..5535",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRENDA",
"last_name": "SMITH",
"middle_name": "A",
"credential": "RD,LD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.