KEVIN TODD MILLER (NPI# 1124478730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124478730 |
| Entity Type | Individual |
| Full Name | KEVIN TODD MILLER |
| Credential | RD, LDN |
| Practice Address |
758 Old Norcross Rd Suite 175 Lawrenceville GA 30046-3385 |
| Practice Telephone | 7703391387 |
| Practice Fax Number | 7709627868 |
| Mailing Telephone | 7703391387 |
| Mailing Fax Number | 7709627868 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD004617 | GA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204327 | Kevin D Miller | Home Health | 4429 Sahara Pl, Fort Worth, TX 76115-3653 | 2020-10-26 |
| 1447617782 | Kevin C Miller | Specialist/Technologist | Cmu, 1208 Hpb, Mt Pleasant, MI 48859-0001 | 2016-01-18 |
| 1346674009 | Kevin Miller | Psychologist | Psc 475 Box 1746, Usnh Yokosuka, Fpo, AP 96350-1746 | 2013-08-29 |
| 1275827180 | Kevin Price Miller | Dermatology | 1600 N Coalter St Ste 19, Staunton, VA 24401 | 2011-06-08 |
| 1043544380 | Kevin Nathaniel Miller | Licensed Practical Nurse | 12203 Roundtable Drive, Seward, AK 99664-0334 | 2009-09-18 |
| 1407003247 | Kevin Modesto Miller | Dentist | 9871 S Parker Rd, #105, Parker, CO 80134-8802 | 2008-08-22 |
| 1598935454 | Kevin Thomas Miller | Dentist | 121 S. Patterson Ave. #107, Santa Barbara, CA 93111 | 2008-03-06 |
| 1720143308 | Kevin Edward Miller | Dentist | 505 N Sanders St, Helena, MT 59601-4528 | 2006-12-26 |
| 1407920283 | Kevin Wayne Miller | Psychologist | 2131 S Webster Ave, Suite 105, Green Bay, WI 54301-2288 | 2006-11-20 |
| 1831260942 | Kevin Ralph Miller | Chiropractor | 1327 Sartori Ave., Torrance, CA 90501 | 2006-11-11 |
| Street Address |
758 OLD NORCROSS RD SUITE 175 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-3385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649277591 | Ruthann Phillips | Physician Assistant | 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3385 | 2005-07-07 |
| 1396270898 | Chanh Huynh | Physical Therapist | 758 Old Norcross Rd, Suite 110, Lawrenceville, GA 30046-3385 | 2017-04-22 |
| 1932519527 | Amanda Nicole Leon | Specialist/Technologist | 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3385 | 2014-05-05 |
| 1306261896 | Emilia Morris | Physician Assistant | 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3385 | 2014-02-20 |
| 1972926152 | Rovi-jane Mehta | Nurse Practitioner | 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3385 | 2014-01-24 |
| 1760734164 | Alicia B Glassford | Dietitian, Registered | 758 Old Norcross Rd, Suite 175, Lawrenceville, GA 30046-3385 | 2012-10-09 |
| 1457639122 | Brenna Williford Coggins | Nurse Practitioner | 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3385 | 2011-07-29 |
| 1093048845 | Hartley L. Falbaum | Orthopaedic Surgery | 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3385 | 2009-09-11 |
| 1730318031 | Caitlyn M Giudici | Physical Therapist | 758 Old Norcross Rd, Suite 110, Lawrenceville, GA 30046-3385 | 2009-07-08 |
| 1770710204 | Phillip G Walton | Orthopaedic Surgery | 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3385 | 2009-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346706157 | Catherine Milum | Dietitian, Registered | 1034 Colony Creek Dr, Lawrenceville, GA 30043-7073 | 2019-02-17 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1659864478 | Sarah Elmer | Dietitian, Registered | 965 Oakland Rd Ste 3d, Lawrenceville, GA 30044-3758 | 2018-06-07 |
| 1184171381 | Johane M Filemon | Dietitian, Registered | 1581 Stoney Chase Dr, Lawrenceville, GA 30044-6929 | 2016-09-06 |
| 1720441827 | Ashley Bennett | Dietitian, Registered | 2115 Sugarstone Ct, Lawrenceville, GA 30043-5055 | 2016-04-05 |
| 1770924730 | Gloria Amparo Ochoa-andia | Dietitian, Registered | 761 Rosa Dr, Lawrenceville, GA 30044-6613 | 2013-07-07 |
| 1609211051 | Ellen Cottone | Dietitian, Registered | 41 Coral Tree Ct, Lawrenceville, NJ 08648-4817 | 2013-04-29 |
| 1760618037 | Sabina Hansen | Dietitian, Registered | 31 E Darrah Ln, Lawrenceville, NJ 08648-3763 | 2009-06-01 |
| 1669535209 | Carmen L Bates | Dietitian, Registered | 2570 Riverside Pkwy, Lawrenceville, GA 30046-0897 | 2006-12-18 |
| 1710909809 | Ofelia Bayutas Mutia | Dietitian, Registered | 965 Duluth Hwy Ste 101, Lawrenceville, GA 30043-7316 | 2006-07-24 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on KEVIN TODD MILLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.