Active NPI
Kristie Miller, RD, LDN, CPT
- Registered Dietitian
- Skaneateles, NY
National Provider Identifier
1306690425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164006649
- Practice address
- 1326 New Seneca Tpke Ste 16
Skaneateles, NY 13152-8888 - Phone
- (315) 710-0080
- NPI assigned
- Apr 15, 2024
- 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 | 37003797A | IN | |
| Registered Dietitian | 133V00000X | 164006649 | IL | Primary |
Addresses
Primary practice location
1326 New Seneca Tpke Ste 16
Skaneateles, NY 13152-8888
Mailing address
988 Rockwell LN
Dyer, IN 46311-8002
Phone (219) 801-9677
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164006649 | IL | MD | Registered Dietitian |
| 37003797A | IN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1306690425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988 ROCKWELL LN",
"city": "DYER",
"state": "IN",
"postal_code": "463118002",
"telephone_number": "219-801-9677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1326 NEW SENECA TPKE STE 16",
"city": "SKANEATELES",
"state": "NY",
"postal_code": "131528888",
"telephone_number": "315-710-0080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KRISTIE",
"credential": "RD, LDN, CPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-15",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "37003797A",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164006649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skaneateles, NY
- Marc P Pietropaoli MD PC
- Bader Masoud, PHYSICIAN ASSISTANT
- John J Maurillo Jr., O.D.
- Arianna Elysse Mejias, MS, RD, LDN
- Melissa M Kallfelz Choosing Change Counseling Service
- Yvonne Elaine Mills, LICENSED PRACTICAL N
- Morgan Lin Montgomery, DPT
- Gabrielle Moran, DDS
- Alyssa Myer, RD
- Kristin Grace Napora, RDN, CDN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.