Brooklyn Open House Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

007162 Issued in NY

Legal business name

BROOKLYN OPEN HOUSE NUTRITION, LLC

Practice address

175 Clinton St Apt 1
Brooklyn, NY 11201-5637

Phone

(914) 907-2077

NPI assigned

Oct 31, 2017

Last updated

Oct 31, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samantha Miller, RDN, CDNNPI 1588178271

Title

Registered Dietitian Nutritionist

Phone

(914) 907-2077

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samantha Alexandra Miller, RDN, CDN

  • Registered Dietitian
  • New York, NY
  • NPI 1588178271

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1659883692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CLINTON ST APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015637",
            "telephone_number": "914-907-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CLINTON ST APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015637",
            "telephone_number": "914-907-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN OPEN HOUSE NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "914-907-2077",
        "authorized_official_credential": "RDN, CDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "007162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.