Brooke Miller

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD005774 Issued in GA

Practice address

3644 Chamblee Tucker Rd Ste C
Atlanta, GA 30341-4405

Phone

(410) 370-0415

NPI assigned

Aug 10, 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

Locations

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.

• Nourish Family Nutrition Coaching, LLC

  • Registered Dietitian
  • Santa Fe, NM
  • NPI 1124495957

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1386372175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VIA SUMMA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875078071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3644 CHAMBLEE TUCKER RD STE C",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414405",
            "telephone_number": "410-370-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD005774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Miller
• Ashley Dominique Miller, ARNP
• Ashley Nicole Miller, LMFT
• Brandi Miller, N.P.
• Breana Miller
• Bruce Miller, MD
• Camille Alexandra Miller, MS
• Carolyn Elizabeth Miller, MD
• Casey Miller
• Cecelia Mayo Miller, MD

• All providers in Atlanta, GA
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.