Active NPI
Elisavet Miliakos, MS, CNS, CDN, IBCLC
- Nutritionist
- New Hyde Park, NY
National Provider Identifier
1639625668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- CNS17350
- Practice address
- 400 Lakeville Rd
Suite 250
New Hyde Park, NY 11042-1101 - Phone
- (718) 470-4620
- NPI assigned
- Aug 30, 2016
- Last updated
- Feb 19, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | CNS17350 | NY | Primary |
| Nutrition Education Nutritionist | 133NN1002X | 009106 | NY | |
| Lactation Consultant (Non-RN) | 174N00000X | L-310460 | NY | |
| Health & Wellness Coach | 171400000X | NY |
Addresses
Primary practice location
400 Lakeville Rd
Suite 250
New Hyde Park, NY 11042-1101
Mailing address
400 Lakeville Rd
Ste 250
New Hyde Park, NY 11042-1101
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
- Credentials
- Certified Nurse Specialist, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNS17350 | NY | MD | Nutritionist |
| L-310460 | NY | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676764800000",
"number": "1639625668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 LAKEVILLE RD",
"address_2": "STE 250",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 LAKEVILLE RD",
"address_2": "SUITE 250",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421101",
"telephone_number": "718-470-4620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILIAKOS",
"first_name": "ELISAVET",
"name_prefix": "Mrs.",
"credential": "MS, CNS, CDN, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-30",
"last_updated": "2023-02-19",
"certification_date": "2023-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "CNS17350",
"primary": true
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NY",
"license": "009106",
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "NY",
"license": "L-310460",
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "NY",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.