Active NPI
Miranda Shearin, RD
- Registered Dietitian
- Chesapeake, VA
National Provider Identifier
1932572633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 898121
- Practice address
- 800 Battlefield Blvd N
Lifestyle Center - Chesapeake Regional Healthcare
Chesapeake, VA 23320-4802 - Phone
- (757) 312-5260
- Fax
- (757) 312-6245
- NPI assigned
- Nov 4, 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 898121 | VA | Primary |
Addresses
Primary practice location
800 Battlefield Blvd N
Lifestyle Center - Chesapeake Regional Healthcare
Chesapeake, VA 23320-4802
Mailing address
800 Battlefield Blvd., North
Lifestyle Center - Chesapeake Regional Healthcare
Chesapeake, VA 23320
Phone (757) 312-5260
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 898121 | VA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446595200000",
"number": "1932572633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 BATTLEFIELD BLVD., NORTH",
"address_2": "LIFESTYLE CENTER - CHESAPEAKE REGIONAL HEALTHCARE",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "23320",
"telephone_number": "757-312-5260",
"fax_number": "757-312-6245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BATTLEFIELD BLVD N",
"address_2": "LIFESTYLE CENTER - CHESAPEAKE REGIONAL HEALTHCARE",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204802",
"telephone_number": "757-312-5260",
"fax_number": "757-312-6245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEARIN",
"first_name": "MIRANDA",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-04",
"last_updated": "2015-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": "898121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.