Individual provider Active NPI

Myranda Dunmire, MS, LN

  • Registered Dietitian
  • Sioux Falls, SD
National Provider Identifier
1326682170
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0689 Issued in SD
Practice address
4800 S Tennis LN Apt 513
Sioux Falls, SD 57106-2261
Phone
(661) 400-2344
NPI assigned
Nov 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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 0689 SD Primary

Addresses

Primary practice location

4800 S Tennis LN Apt 513
Sioux Falls, SD 57106-2261

Mailing address

4800 S Tennis LN Apt 513
Sioux Falls, SD 57106-2261
Phone (661) 400-2344

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0689SDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1326682170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 S TENNIS LN APT 513",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571062261",
            "telephone_number": "661-400-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S TENNIS LN APT 513",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571062261",
            "telephone_number": "661-400-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNMIRE",
        "first_name": "MYRANDA",
        "credential": "MS, LN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SD",
            "license": "0689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.