Active NPI
Debra K Misener, RD
- Registered Dietitian
- Great Falls, MT
National Provider Identifier
1376788893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 486
- Practice address
- 115 4TH St S
Great Falls, MT 59401-3618 - Phone
- (406) 454-6950
- Fax
- (406) 453-3357
- NPI assigned
- Dec 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 486 | MT | Primary |
Addresses
Primary practice location
115 4TH St S
Great Falls, MT 59401-3618
Mailing address
115 4TH St S
Great Falls, MT 59401-3618
Phone (406) 454-6950
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 |
|---|---|---|---|
| 486 | MT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229040000000",
"number": "1376788893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 4TH ST S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594013618",
"telephone_number": "406-454-6950",
"fax_number": "406-453-3357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 4TH ST S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594013618",
"telephone_number": "406-454-6950",
"fax_number": "406-453-3357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISENER",
"first_name": "DEBRA",
"middle_name": "K",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-12",
"last_updated": "2008-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MT",
"license": "486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.