Active NPI
Mie Mie Chiu, RD
- Registered Dietitian
- San Jose, CA
National Provider Identifier
1437672953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 863957
- Practice address
- 276 Palm Valley Blvd #205
San Jose, CA 95123 - Phone
- (858) 775-6252
- NPI assigned
- Jul 18, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | 863957 | CA | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 863957 | CA | |
| Registered Dietitian | 133V00000X | 863957 | CA | Primary |
Addresses
Primary practice location
276 Palm Valley Blvd #205
San Jose, CA 95123
Mailing address
276 Palm Valley Blvd #205
San Jose, CA 95123
Phone (858) 775-6252
Other practice location 1
276 Palm Valley Blvd #205
San Jose, CA 95123
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1437672953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "276 PALM VALLEY BLVD #205",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95123",
"telephone_number": "858-775-6252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 PALM VALLEY BLVD #205",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95123",
"telephone_number": "858-775-6252"
}
],
"practiceLocations": [
{
"address_1": "276 Palm Valley Blvd #205",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "95123",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIU",
"first_name": "MIE MIE",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-18",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "CA",
"license": "863957",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "CA",
"license": "863957",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "863957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.