Marissa Kai Miluk, MS, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86083644

Practice address

1521 Laurens Rd Unit 16631
Greenville, SC 29606-1097

Phone

(818) 437-6249

NPI assigned

Jan 22, 2024

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Makai Nutrition LLC

  • Registered Dietitian
  • Greenville, SC
  • NPI 1669346326

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1891556304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16631",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296067631",
            "telephone_number": "818-437-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 LAURENS RD UNIT 16631",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296061097",
            "telephone_number": "818-437-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILUK",
        "first_name": "MARISSA",
        "middle_name": "KAI",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "2090",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86083644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Anne Millwood
• Caitlin Jasmine Milne, RDN, LDN
• Debra Lyn Milne
• Edward Job Milosz, CRNA
• Brianna Miluk
• Bonnie Stogner Mimms, RPH
• Christie B Mina, M.D.
• John Minarich
• John S. Minasi, M.D.
• Mind and Body Therapeutic Services, Inc.

• Registered Dietitian in Greenville, SC
• Providers in Greenville, SC by specialty
• Registered Dietitian in South Carolina

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