Active NPI
Millicent A Meeks, RD
- Registered Dietitian
- Memphis, TN
National Provider Identifier
1790798833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN0000000425
- Practice address
- 1030 Jefferson Ave
Department 120
Memphis, TN 38104-2127 - Phone
- (901) 523-8990
- Fax
- (901) 577-7434
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| LDN0000000425 | TN | MD | Registered Dietitian |
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 | LDN0000000425 | TN | Primary |
Addresses
Primary practice location
1030 Jefferson Ave
Department 120
Memphis, TN 38104-2127
Mailing address
36 Grove Dale St
Memphis, TN 38120-2009
Phone (901) 523-8990
NPI Registry JSON
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790798833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 GROVE DALE ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202009",
"telephone_number": "901-523-8990",
"fax_number": "901-577-7434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 JEFFERSON AVE",
"address_2": "DEPARTMENT 120",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381042127",
"telephone_number": "901-523-8990",
"fax_number": "901-577-7434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEKS",
"first_name": "MILLICENT",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "LDN0000000425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.