Active NPI
Miranda Starlyn, RDN
- Registered Dietitian
- Murrells Inlet, SC
National Provider Identifier
1588497135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1521
- Practice address
- 9405 Highway 17 Byp
Murrells Inlet, SC 29576-9301 - Phone
- (803) 497-7755
- NPI assigned
- Aug 20, 2024
- Last updated
- Nov 13, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1521 | SC | Primary |
Addresses
Primary practice location
9405 Highway 17 Byp
Murrells Inlet, SC 29576-9301
Mailing address
9405 Highway 17 Byp
Murrells Inlet, SC 29576-9301
Phone (803) 497-7755
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1521 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1588497135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9405 HIGHWAY 17 BYP",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295769301",
"telephone_number": "803-497-7755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9405 HIGHWAY 17 BYP",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295769301",
"telephone_number": "803-497-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARLYN",
"first_name": "MIRANDA",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-20",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "1521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrells Inlet, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.