Miao Lin, MS, RD, CSR

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86094712 Issued in KY

Practice address

14200 W Celebrate Life Way
Goodyear, AZ 85338-3007

Phone

(602) 883-1227

Fax

(623) 207-3921

NPI assigned

Oct 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1801617964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21049 S 187TH WAY",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851423582",
            "telephone_number": "615-649-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14200 W CELEBRATE LIFE WAY",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853383007",
            "telephone_number": "602-883-1227",
            "fax_number": "623-207-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "MIAO",
        "credential": "MS, RD, CSR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "KY",
            "license": "86094712",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "86094712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifegate Health Services LLC
• Lifemor Inc.
• Lifewin Homes LLC
• Light-Ride Inc.
• Clayton Lillywhite, DPT
• Kendell Lincoln, CNM
• Linda McCandless, DO, Inc.
• Amanda Cardona Lindsay, FNP
• Ylanda Lindsey
• Lyn Linville, SCHOOL PSYCHOLOGIST

• Registered Dietitian in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.