Active NPI
Jacquelynn Elaine Miller, RD
- Registered Dietitian
- Lexington, KY
National Provider Identifier
1396563714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 293825
- Practice address
- 2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3543 - Phone
- (859) 323-2232
- Fax
- (859) 257-1078
- NPI assigned
- Oct 3, 2024
- 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 | 293825 | KY | Primary |
Addresses
Primary practice location
2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3543
Mailing address
595 Trotting Ridge Rd
Irvine, KY 40336-7203
Phone (859) 248-5316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kentucky | Current | Accepting new patients | |
| University of Kentucky | Past | Accepting new patients |
Locations
2195 Harrodsburg Rd
Ste 125
Lexington, KY 40504
Phone (859) 257-4732
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
2195 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 323-2232
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1396563714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 TROTTING RIDGE RD",
"city": "IRVINE",
"state": "KY",
"postal_code": "403367203",
"telephone_number": "859-248-5316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2195 HARRODSBURG RD STE 125",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043543",
"telephone_number": "859-323-2232",
"fax_number": "859-257-1078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JACQUELYNN",
"middle_name": "ELAINE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-03",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "293825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.