Active NPI
Mary Katherine Mills, R.D.
- Registered Dietitian
- Tekonsha, MI
National Provider Identifier
1689128209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 394 Lincoln Dr
Tekonsha, MI 49092-9685 - Phone
- (517) 767-3141
- Fax
- (800) 430-9616
- NPI assigned
- Aug 11, 2016
- Last updated
- Aug 11, 2016
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
394 Lincoln Dr
Tekonsha, MI 49092-9685
Mailing address
394 Lincoln Dr
Tekonsha, MI 49092-9685
Phone (517) 767-3141
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470873600000",
"number": "1689128209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "394 LINCOLN DR",
"city": "TEKONSHA",
"state": "MI",
"postal_code": "490929685",
"telephone_number": "517-767-3141",
"fax_number": "800-430-9616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "394 LINCOLN DR",
"city": "TEKONSHA",
"state": "MI",
"postal_code": "490929685",
"telephone_number": "517-767-3141",
"fax_number": "800-430-9616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "MARY",
"middle_name": "KATHERINE",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-11",
"last_updated": "2016-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tekonsha, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.