Active NPI
Amy Louise Milenberg, RD
- Registered Dietitian
- Columbia, SC
National Provider Identifier
1922105311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 711934
- Practice address
- 6439 Garners Ferry Road
Dorn VA Medical Center
Columbia, SC 29209 - Phone
- (803) 776-4000
- Fax
- (803) 695-7978
- NPI assigned
- Sep 20, 2006
- 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 | 711934 | Primary |
Addresses
Primary practice location
6439 Garners Ferry Road
Dorn VA Medical Center
Columbia, SC 29209
Mailing address
6439 Garners Ferry Road
Dorn VA Medical Center
Columbia, SC 29209
Phone (803) 776-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 711934 | Other | NATIONAL REGISTRATION |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922105311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6439 GARNERS FERRY ROAD",
"address_2": "DORN VA MEDICAL CENTER",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29209",
"telephone_number": "803-776-4000",
"fax_number": "803-695-7978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6439 GARNERS FERRY ROAD",
"address_2": "DORN VA MEDICAL CENTER",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29209",
"telephone_number": "803-776-4000",
"fax_number": "803-695-7978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILENBERG",
"first_name": "AMY",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "711934",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL REGISTRATION",
"identifier": "711934",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
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.