Betsy Anne Miller, MS, CNS, LDN

Primary specialty

NutritionistTaxonomy code 133N00000X

License

DX3519 Issued in MD

Practice address

1818 Library St
Suite 500
Reston, VA 20190-6242

Phone

(301) 602-1518

NPI assigned

Nov 25, 2013

Last updated

May 19, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Betsy Costillo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science

State licenses

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1407286610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 VILLARIDGE DR",
            "address_2": "#B",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201914825",
            "telephone_number": "301-602-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 LIBRARY ST",
            "address_2": "SUITE 500",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201906242",
            "telephone_number": "301-602-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BETSY",
        "middle_name": "ANNE",
        "credential": "MS, CNS, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-25",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX3519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETSY",
            "last_name": "COSTILLO",
            "credential": "MS CNS, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Monica Mihalache, M.D.
• Elle Milani, MD
• Ann Muse Millard, LCSW
• Miller Eyecare Reston, LLC (My Eye Dr.)
• Melanie Miller-Cvilikas, LCSW
• David R Miller, M.D.
• James Steven Miller, MA
• Stephanie Lourdes Miller, PA-C
• John Millikin
• Danielle Mills, LPC, LMHC, CRC

• Nutritionist in Reston, VA
• Providers in Reston, VA by specialty
• Nutritionist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.