Active NPI
Joy Dorothea Midkiff, MS, RDN, LDN
- Registered Dietitian
- Daytona Beach, FL
National Provider Identifier
1851407407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND6311
- Practice address
- 330 N Clyde Morris Blvd Ste 9
Daytona Beach, FL 32114-2733 - Phone
- (386) 676-7133
- Fax
- (386) 238-3228
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3277 | OH | |
| Registered Dietitian | 133V00000X | ND6311 | FL | Primary |
Addresses
Primary practice location
330 N Clyde Morris Blvd Ste 9
Daytona Beach, FL 32114-2733
Mailing address
807 Chickadee Dr
Port Orange, FL 32127-4722
Phone (614) 425-6795
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND6311 | FL | MD | Registered Dietitian |
| 3277 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1851407407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 CHICKADEE DR",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321274722",
"telephone_number": "614-425-6795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 N CLYDE MORRIS BLVD STE 9",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142733",
"telephone_number": "386-676-7133",
"fax_number": "386-238-3228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDKIFF",
"first_name": "JOY",
"middle_name": "DOROTHEA",
"name_prefix": "Mrs.",
"credential": "MS, RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "3277",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND6311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.