Active NPI
Mary Adonna Yuse-Miller, RD LD
- Registered Dietitian
- Sheridan, OR
National Provider Identifier
1780912287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 088
- Practice address
- 7373 SW Gopher Valley Rd
Sheridan, OR 97378-9795 - Phone
- (503) 843-7409
- NPI assigned
- Nov 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 088 | OR | MD | Registered Dietitian |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 088 | OR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
7373 SW Gopher Valley Rd
Sheridan, OR 97378-9795
Mailing address
7373 SW Gopher Valley Rd
Sheridan, OR 97378-9795
Phone (503) 843-7409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 23, 2009.
{
"created_epoch": "1258934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258934400000",
"number": "1780912287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7373 SW GOPHER VALLEY RD",
"city": "SHERIDAN",
"state": "OR",
"postal_code": "973789795",
"telephone_number": "503-843-7409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7373 SW GOPHER VALLEY RD",
"city": "SHERIDAN",
"state": "OR",
"postal_code": "973789795",
"telephone_number": "503-843-7409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUSE-MILLER",
"first_name": "MARY",
"middle_name": "ADONNA",
"credential": "RD LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-23",
"last_updated": "2009-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheridan, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.