Beverly Millison, RD/LD CDE

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

DT04373 Issued in TX

Practice address

3701 Lavorton PL
Flower Mound, TX 75022-6708

Phone

(972) 724-1885

Fax

(203) 547-6492

NPI assigned

Nov 16, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1265769053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 LAVORTON PL",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750226708",
            "telephone_number": "972-724-1885",
            "fax_number": "203-547-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 LAVORTON PL",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750226708",
            "telephone_number": "972-724-1885",
            "fax_number": "203-547-6492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLISON",
        "first_name": "BEVERLY",
        "credential": "RD/LD CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "TX",
            "license": "DT04373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charissa Miller
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• Kyle Miller, DPT
• Samuel Seaborn Miller
• Savannah Miller, M.ED, BCBA, LBA
• Deana Minchillo
• Mindmenders Clinic
• Jessica Susan Miner, M.S. CCC-SLP
• Mint Dentistry, PLLC (Flower Mound MINT Dentistry)
• Bryan H. Minton, M.D.

• Metabolic Nutrition Registered Dietitian in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Metabolic Nutrition Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.