Individual provider Active NPI

Treva Millard, RD

  • Registered Dietitian
  • Grand Junction, CO
National Provider Identifier
1669105276
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
985773 Issued in CO
Practice address
2748 Crossroads Blvd
Grand Junction, CO 81506-3933
Phone
(970) 255-0919
Fax
(970) 255-0901
NPI assigned
Jul 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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 985773 CO Primary

Addresses

Primary practice location

2748 Crossroads Blvd
Grand Junction, CO 81506-3933

Mailing address

2748 Crossroads Blvd
Grand Junction, CO 81506-3933
Phone (970) 255-0919

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gmn.4@6579.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220921003195 CO Practitioner - Registered Dietitian Or Nutrition Professional 3072998483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Mesa Nephrology PLLCGroup PAC ID 0244427565, 3 clinicians

Practice addresses (Care Compare)

2748 Crossroads Blvd
Grand Junction, CO 81506-3933
Phone (970) 255-0919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
985773COMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Mesa Nephrology PLLC CurrentSince Sep 2, 2022 Accepting new patients

Locations

2748 Crossroads Blvd
Grand Junction, CO 81506
Phone (970) 255-0900

Interoperability endpoints

  • Direct secure messaging: gmn.4@6579.direct.athenahealth.com
  • Direct secure messaging: treva.millard.1@6579.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6579/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1669105276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2748 CROSSROADS BLVD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815063933",
            "telephone_number": "970-255-0919",
            "fax_number": "970-255-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2748 CROSSROADS BLVD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815063933",
            "telephone_number": "970-255-0919",
            "fax_number": "970-255-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLARD",
        "first_name": "TREVA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "985773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmn.4@6579.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2748 Crossroads Blvd",
            "city": "Grand Junction",
            "state": "CO",
            "country_code": "US",
            "postal_code": "815063933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.