Myerly Kertis, M.S., R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND3578 Issued in FL

Practice address

1611 NW. 12TH Ave
Nutrition Services/ Jackson Memorial Hospital
Miami, FL 33136-1096

Phone

(305) 585-5298

NPI assigned

Nov 17, 2008

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1336394402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 BAY DR",
            "address_2": "#506",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331414436",
            "telephone_number": "305-866-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW. 12TH AVE",
            "address_2": "NUTRITION SERVICES/ JACKSON MEMORIAL HOSPITAL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361096",
            "telephone_number": "305-585-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERTIS",
        "first_name": "MYERLY",
        "credential": "M.S., R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND3578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard C Kernish, MD
• Kerod Medical Services Inc
• Natalie Candice Kerr
• Faith Kennly Kersaint, CNM
• Jamiela Monique Kersellius
• Suraj Keshari
• Naomi C Keshian
• Susan B Kesmodel, MD
• Julio Kessel Rodriguez, DPM
• Thania Kessep, RBT

• Registered Dietitian in Miami, FL
• Providers in Miami, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.