Individual provider Active NPI

Erin E. Miller, RDN, LDN

  • Registered Dietitian
  • South Portland, ME
National Provider Identifier
1285040584
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI1087 Issued in ME
Practice address
41 Donald B Dean Dr Ste a
South Portland, ME 04106-3252
Phone
(207) 661-6064
Fax
(207) 253-6073
NPI assigned
Jul 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DI1087 ME Primary

Addresses

Primary practice location

41 Donald B Dean Dr Ste a
South Portland, ME 04106-3252

Mailing address

41 Donald B Dean Dr Ste a
South Portland, ME 04106-3252
Phone (207) 661-6064

Other practice location 1

10 High St
Ste. 105
Lewiston, ME 04240-7653
Phone (207) 795-5710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141112000570 ME Practitioner - Nurse Practitioner 4688896418 Reassigns benefits to 1 organization
I20180321001689 ME Practitioner - Registered Dietitian Or Nutrition Professional 4688896418 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners CurrentSince May 5, 2018 Accepting new patients
Maine Medical Partners Current Accepting new patients
Central Maine Medical Center CurrentSince Jul 14, 2014 Accepting new patients
Maine Medical Partners Dietitian, Registered CurrentSince May 5, 2018 Accepting new patients
Central Maine Medical Center CurrentSince Jul 14, 2014 Accepting new patients

Locations

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

364 Main St
Lewiston, ME 04240
Phone (207) 795-5646

10 High St
Ste 105
Lewiston, ME 04240
Phone (207) 795-5710

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

1 Harnois Ave
Ste 1A
Westbrook, ME 04092
Phone (207) 662-1360

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 5

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": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1285040584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 DONALD B DEAN DR STE A",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063252",
            "telephone_number": "207-661-6064",
            "fax_number": "207-253-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 DONALD B DEAN DR STE A",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063252",
            "telephone_number": "207-661-6064",
            "fax_number": "207-253-6073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 High St",
            "address_2": "Ste. 105",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042407653",
            "country_code": "US",
            "telephone_number": "207-795-5710",
            "fax_number": "207-795-2732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ERIN",
        "middle_name": "E.",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DI1087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.