Miranda Nicole Pendley, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD006080 Issued in GA

Practice address

13190 Highway 92 Ste 70-90
Woodstock, GA 30188-4415

Phone

(770) 926-9495

NPI assigned

Nov 2, 2022

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)

Not enrolled

State licenses

Practice roles

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.

• Advanced Health Solutions, LLC

  • Physical Medicine & Rehabilitation Physician
  • Woodstock, GA
  • NPI 1003180563
  NPD

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1356058085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13190 HIGHWAY 92 STE 70-90",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884415",
            "telephone_number": "770-926-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13190 HIGHWAY 92 STE 70-90",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884415",
            "telephone_number": "770-926-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLEY",
        "first_name": "MIRANDA",
        "middle_name": "NICOLE",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD006080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karolina Anna Pelt, D.M.D.
• Taylor Pemberton, MSCMHC
• Gilberto Pena Jr., LMT
• Deborah Pender
• Erykah Pender, RBT
• Courtney Penrose
• Kayla Perkins
• Danielle Cotovia Perna-Amari, DC
• Megan Andrews Perry
• Kaylee A Petro, MS, CCC-SLP

• Registered Dietitian in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.