Individual provider Active NPI

Devin Miller

  • Registered Dietitian
  • Somerset, PA
National Provider Identifier
1407426067
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN006918 Issued in PA
Practice address
510 E Main St
Somerset, PA 15501-2185
Phone
(814) 241-1129
NPI assigned
Jun 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DX4994 MD
Registered Dietitian 133V00000X DN006918 PA Primary

Addresses

Primary practice location

510 E Main St
Somerset, PA 15501-2185

Mailing address

510 E Main St
Somerset, PA 15501-2185
Phone (814) 241-1129

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DX4994MDMDRegistered Dietitian
DN006918PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
BGN Wellness LLC Dietitian, Registered CurrentSince Oct 1, 2023 Accepting new patients
Upmc Western Maryland Corporation Current Accepting new patients
Upmc Western Maryland Health Services, LLC Dietitian, Registered Past Accepting new patients

Locations

12502 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-8724

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

12502 Willowbrook Rd
Ste 300
Cumberland, MD 21502

1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288

510 E Main St
Ste 2
Somerset, PA 15501

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1407426067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E MAIN ST",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012185",
            "telephone_number": "814-241-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E MAIN ST",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012185",
            "telephone_number": "814-241-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-28",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX4994",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN006918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.