Active NPI
Amy L Mihm, MS, RD, LAT
- Specialist
- Madison, WI
National Provider Identifier
1477548162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 353039
- Practice address
- 621 Science Dr
Madison, WI 53711-1074 - Phone
- (608) 265-8886
- NPI assigned
- Sep 19, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1621029 | WI | |
| Specialist | 174400000X | 353039 | WI | Primary |
Addresses
Primary practice location
621 Science Dr
Madison, WI 53711-1074
Mailing address
1805 Anhalt Dr
Madison, WI 53704-8114
Phone (608) 244-7116
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1621029 | WI | MD | Registered Dietitian |
| 353039 | WI | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1477548162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 ANHALT DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537048114",
"telephone_number": "608-244-7116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 SCIENCE DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537111074",
"telephone_number": "608-265-8886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIHM",
"first_name": "AMY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "MS, RD, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "1621029",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WI",
"license": "353039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.