Diana M. Miller, MPH, RD, LDN, CLC
Individual provider Active NPI Pediatric Nutrition Registered Dietitian · Pinehurst, NC
NPI 1700907409 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1700907409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nutrition Registered Dietitian 133VN1004X
- License
- L002904 (NC)
- Practice address
- 10 Parker LN
Suite 1
Pinehurst, NC 28374-7903 - Phone
- (910) 295-3133
- Fax
- (910) 295-2723
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L002904 | NC | MD | Pediatric Nutrition Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | L002904 | NC | Yes |
Addresses
Primary practice location
10 Parker LN
Suite 1
Pinehurst, NC 28374-7903
Mailing address
306 Cross St
Sanford, NC 27330-3818
Phone (919) 776-0324
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3403400 | Medicaid | NC |
Other providers in Pinehurst, NC
- Talequea Shante Midgette
- Angela Rachelle Miedema
- Stephanie Miles
- Ronald Milewski
- Michael Alan Millard
- Jacqueline Cook Miller
- Russell Raymond Miller III
- Shelby Alisa Mishue
- Artur Gerard Mixa
- Dorothy Margaret Mixa
All providers in Pinehurst, NC · Pediatric Nutrition Registered Dietitian in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.