Individual provider Active NPI

Madison Milmeister, MS, M.ED, RDN

  • Registered Dietitian
  • Marina del Rey, CA
National Provider Identifier
1417537044
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
998072 Issued in NY
Practice address
4616 Roma CT
Marina del Rey, CA 90292-6791
Phone
(305) 978-6618
NPI assigned
Apr 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 998072 NY Primary

Addresses

Primary practice location

4616 Roma CT
Marina del Rey, CA 90292-6791

Mailing address

4616 Roma CT
Marina del Rey, CA 90292-6791
Phone (305) 978-6618

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
Credentials
Master of Education, Master of Science

State licenses

LicenseStateTypeSpecialty
998072NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1417537044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 ROMA CT",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926791",
            "telephone_number": "305-978-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 ROMA CT",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926791",
            "telephone_number": "305-978-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILMEISTER",
        "first_name": "MADISON",
        "name_prefix": "Mrs.",
        "credential": "MS, M.ED, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "998072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.