Missy and Clark Miller LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

MISSY AND CLARK MILLER LLC

Practice address

11128 Sheffield Dr
Anna, TX 75409-7670

Phone

(214) 578-9168

NPI assigned

Feb 19, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Miller, RD/LDNPI 1124717129

Title

Owner

Phone

(214) 578-9168

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa R Miller, RD, RDN, LD

  • Registered Dietitian
  • Anna, TX
  • NPI 1124717129

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1720843725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11128 SHEFFIELD DR",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754097670",
            "telephone_number": "214-578-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11128 SHEFFIELD DR",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754097670",
            "telephone_number": "214-578-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSY AND CLARK MILLER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-578-9168",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD/LD"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SINGLE PROVIDER",
            "identifier": "1124717129",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Melonakos
• Charlene Foster Merritt, BS, RPH
• Amanda M Meusborn
• Amanfa Miller
• Melissa R Miller, RD, RDN, LD
• Melissa Louise Mitchell, MSN, APRN, FNP-C
• Miles Mock, OTR/L
• Taylor Morris, LMSW
• My Dr Now Texas PLLC (My Dr Now)
• Lashanda Yvette Neal, LCSW

• Registered Dietitian in Anna, TX
• Providers in Anna, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.

Verify at the official NPI Registry.