Milissa Lynn Janisko, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

806419 Issued in NU

Practice address

1201 Broad Rock Blvd
Richmond, VA 23249-0001

Phone

(804) 675-5137

NPI assigned

Mar 21, 2008

Last updated

Mar 21, 2008By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206057600000",
    "number": "1518138189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 APPLEFORD DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238317089",
            "telephone_number": "804-717-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232490001",
            "telephone_number": "804-675-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANISKO",
        "first_name": "MILISSA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": "806419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Phillips Enterprise LLC (Humanities for Hospice)
• Shruthi Janardhanan, M.D.
• Jane P. Kallio, LCSW, LLC
• Jane Wilson, LLC
• Janice B. Hairston, LCSW, LLC
• Lazar Jankovic, MD
• Daniel M Jannuzzi, MD
• Julie Elizabeth Janson, OT
• Merica R Janson, RD
• Jessica R Jaquez Infante, NNP

• Registered Dietitian in Richmond, VA
• Providers in Richmond, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.

Verify at the official NPI Registry.