NPIMap

Organization Active NPI

Patient-Centered Nutrition, LLC

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Greensboro, NC
National Provider Identifier
1720779457
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X
Legal business name
PATIENT-CENTERED NUTRITION, LLC
Doing business as
Patient-Centered Nutrition, LLC
Practice address
4503 Radnor Dr
Greensboro, NC 27410-5914
Phone
(919) 896-4647
NPI assigned
May 15, 2023
Last updated
May 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Kevin T Miller, RD, LDNNPI 1124478730
Title
Owner
Phone
(919) 896-4647

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity and Weight Management Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1201X Primary

Addresses

Primary practice location

4503 Radnor Dr
Greensboro, NC 27410-5914

Mailing address

4503 Radnor Dr
Greensboro, NC 27410-5914
Phone (919) 896-4647

Other names 1

  • Patient-Centered Nutrition, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1720779457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 RADNOR DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274105914",
            "telephone_number": "919-896-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 RADNOR DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274105914",
            "telephone_number": "919-896-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT-CENTERED NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-896-4647",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patient-Centered Nutrition, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.