Active NPI
Beverly Renae Miller, RD, LD
- Registered Dietitian
- Vincent, AL
National Provider Identifier
1679393870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1768
- Practice address
- 256 Prince Rd
Vincent, AL 35178-8152 - Phone
- (205) 381-9501
- NPI assigned
- Oct 12, 2024
- Last updated
- Oct 12, 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 | 1768 | AL | Primary |
Addresses
Primary practice location
256 Prince Rd
Vincent, AL 35178-8152
Mailing address
256 Prince Rd
Vincent, AL 35178-8152
Phone (205) 381-9501
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 |
|---|---|---|---|
| 1768 | AL | MD | Occupational 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": "1728691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728691200000",
"number": "1679393870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 PRINCE RD",
"city": "VINCENT",
"state": "AL",
"postal_code": "351788152",
"telephone_number": "205-381-9501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 PRINCE RD",
"city": "VINCENT",
"state": "AL",
"postal_code": "351788152",
"telephone_number": "205-381-9501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "BEVERLY",
"middle_name": "RENAE",
"name_prefix": "Mrs.",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-12",
"last_updated": "2024-10-12",
"certification_date": "2024-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "1768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vincent, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.