Individual provider Active NPI

Marcie Ann Millar, RD,LDN

  • Registered Dietitian
  • Narragansett, RI
National Provider Identifier
1477614683
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN00067 Issued in RI
Practice address
140 Point Judith Rd
C6
Narragansett, RI 02882-3451
Phone
(401) 782-6800
Fax
(401) 782-6886
NPI assigned
Dec 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LDN00067 RI Primary

Addresses

Primary practice location

140 Point Judith Rd
C6
Narragansett, RI 02882-3451

Mailing address

140 Point Judith Rd
C6
Narragansett, RI 02882-3451
Phone (401) 782-6800

Other identifiers 3

IdentifierTypeStateIssuer
63-0051OtherRIUNITEDHEALTHCARE
234746-8OtherRIBLUE CROSS,BLUE SHIELD
408887OtherRIBLUE CHIP

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477614683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 POINT JUDITH RD",
            "address_2": "C6",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823451",
            "telephone_number": "401-782-6800",
            "fax_number": "401-782-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 POINT JUDITH RD",
            "address_2": "C6",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823451",
            "telephone_number": "401-782-6800",
            "fax_number": "401-782-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLAR",
        "first_name": "MARCIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RD,LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN00067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "63-0051",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS,BLUE SHIELD",
            "identifier": "234746-8",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "408887",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Narragansett, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.