Active NPI
Susan Miller
- Registered Dietitian
- Birmingham, AL
National Provider Identifier
1740746866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 13031
- Practice address
- VA Medical Center
700 South 19TH Street
Birmingham, AL 35233 - Phone
- (205) 933-8101
- NPI assigned
- Feb 13, 2019
- 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 | 13031 | IL | Primary |
Addresses
Primary practice location
VA Medical Center
700 South 19TH Street
Birmingham, AL 35233
Mailing address
VA Medical Center
700 South 19TH Street
Birmingham, AL 35233
Phone (205) 933-8101
Other practice location 1
637 Johnnys Cv
Leeds, AL 35094-6608
Phone (205) 933-8101 ext. 4712
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APPLE6349 | Medicaid | AL | |
| APPLE6349 | Other | AL | BCBS |
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 |
|---|---|---|---|
| 13031 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550016000000",
"number": "1740746866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VA MEDICAL CENTER",
"address_2": "700 SOUTH 19TH STREET",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35233",
"telephone_number": "205-933-8101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA MEDICAL CENTER",
"address_2": "700 SOUTH 19TH STREET",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35233",
"telephone_number": "205-933-8101"
}
],
"practiceLocations": [
{
"address_1": "637 Johnnys Cv",
"address_purpose": "LOCATION",
"city": "Leeds",
"state": "AL",
"postal_code": "350946608",
"country_code": "US",
"telephone_number": "205-933-8101 x4712",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "SUSAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-13",
"last_updated": "2019-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "13031",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "APPLE6349",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "APPLE6349",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.