Active NPI
Kimberly Milford, RD
- Registered Dietitian
- Saint Louis, MO
National Provider Identifier
1821200411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2005002247
- Practice address
- 660 S Euclid Ave
Saint Louis, MO 63110-1010 - Phone
- (314) 747-5192
- Fax
- (314) 747-5178
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 2005002247 | MO | Primary |
Addresses
Primary practice location
660 S Euclid Ave
Saint Louis, MO 63110-1010
Mailing address
PO Box 8221
7425 Forsyth Blvd
Saint Louis, MO 63156-8221
Phone (314) 935-0618
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005002247 | MO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821200411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8221",
"address_2": "7425 FORSYTH BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631568221",
"telephone_number": "314-935-0618",
"fax_number": "314-935-0575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 S EUCLID AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101010",
"telephone_number": "314-747-5192",
"fax_number": "314-747-5178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILFORD",
"first_name": "KIMBERLY",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2005002247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
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.