Eileen S Myers, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1722 Issued in TN

Practice address

2594 Forest Ridge Dr Apt M-4
Fernandina Beach, FL 32034-0407

Phone

(615) 330-6669

NPI assigned

May 31, 2007

Last updated

Mar 4, 2019By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1457553729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16345",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320353123",
            "telephone_number": "615-330-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2594 FOREST RIDGE DR APT M-4",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320340407",
            "telephone_number": "615-330-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "EILEEN",
        "middle_name": "S",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "001722",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND9141",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "1722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenyetta Francine Morales, MS, OTR/L
• Brittany Morehead
• Steffano Mottl, MD
• Robert J Munoz, P.A.
• Todd Longford Murphy, M.D.
• Jan M Nabors, LDO
• Nassau Alcohol Crime Drug Abatement Coalition
• Nassau County Council on Aging Inc
• Nassau County Council on Aging Inc
• Nassau County Mental Health Alcohol & Drug Abuse (Starting Point Behavioral Healthcare)

• Registered Dietitian in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.