Active NPI
Susan Marie Miller, RD
- Registered Dietitian
- Warrensburg, MO
National Provider Identifier
1437329364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 20040355652
- Practice address
- 403 Burkarth Road
Warrensburg, MO 64093 - Phone
- (660) 747-2500
- Fax
- (660) 747-8455
- NPI assigned
- Mar 6, 2008
- Last updated
- Mar 6, 2008
- 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 | 20040355652 | MO | Primary |
Addresses
Primary practice location
403 Burkarth Road
Warrensburg, MO 64093
Mailing address
403 Burkarth Road
Warrensburg, MO 64093
Phone (660) 747-2500
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20040355652 | MO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204761600000",
"number": "1437329364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 BURKARTH ROAD",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "64093",
"telephone_number": "660-747-2500",
"fax_number": "660-747-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 BURKARTH ROAD",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "64093",
"telephone_number": "660-747-2500",
"fax_number": "660-747-8455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SUSAN",
"middle_name": "MARIE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-06",
"last_updated": "2008-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "20040355652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warrensburg, MO
- Jill Christine Meyer, M.S. CF-SLP
- Terri Ann Meyer, APRN
- Carrie Lynn Miles, LCSW
- Caren A Miller, RPH
- Misty Lynn Miller, BSW, QMRP
- Michael Christopher Misko, M.D.
- Missouri CVS Pharmacy, L.L.C. (CVS Pharmacy #11307)
- Missouri Veterans Commission (Missouri Veterans Home Warrensburg)
- Grace Mixer
- Anabel Monegro, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.