Active NPI
Melissa Kate Miller, DTR E
- Nutritionist
- Farmington, NM
National Provider Identifier
1831575117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Practice address
- 110 E Apache St
Farmington, NM 87401-6902 - Phone
- (505) 654-7909
- Fax
- (505) 564-7956
- NPI assigned
- Aug 10, 2015
- Last updated
- Aug 10, 2015
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | NU | Primary |
Addresses
Primary practice location
110 E Apache St
Farmington, NM 87401-6902
Mailing address
3604 Piedra Vista Dr
Farmington, NM 87402-5250
Phone (575) 650-5454
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Wellness Services Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439164800000",
"number": "1831575117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3604 PIEDRA VISTA DR",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874025250",
"telephone_number": "575-650-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E APACHE ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874016902",
"telephone_number": "505-654-7909",
"fax_number": "505-564-7956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MELISSA",
"middle_name": "KATE",
"name_prefix": "Ms.",
"credential": "DTR E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-10",
"last_updated": "2015-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.