Active NPI
Amber Mizuki, RD
- Registered Dietitian
- Hampton, VA
National Provider Identifier
1386929164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01000859
- Practice address
- 100 Emancipation Drive
BLDG 116
Hampton, VA 23667 - Phone
- (757) 722-9961
- NPI assigned
- Oct 12, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 01000859 | VA | Primary |
Addresses
Primary practice location
100 Emancipation Drive
BLDG 116
Hampton, VA 23667
Mailing address
100 Emancipation Drive
BLDG 116
Hampton, VA 23667
Phone (757) 722-9961
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 |
|---|---|---|---|
| 01000859 | VA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354233600000",
"number": "1386929164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 EMANCIPATION DRIVE",
"address_2": "BLDG 116",
"city": "HAMPTON",
"state": "VA",
"postal_code": "23667",
"telephone_number": "757-722-9961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EMANCIPATION DRIVE",
"address_2": "BLDG 116",
"city": "HAMPTON",
"state": "VA",
"postal_code": "23667",
"telephone_number": "757-722-9961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZUKI",
"first_name": "AMBER",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-12",
"last_updated": "2012-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": "01000859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.