JUSTINE BROOK MILLER (NPI# 1013388131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013388131 |
| Entity Type | Individual |
| Full Name | JUSTINE BROOK MILLER |
| Credential | MA, RDN, CD |
| Practice Address |
710 S 13th St Goshen IN 46526-4134 |
| Practice Telephone | 9893268523 |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 37002204A | IN | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295260685 | Justine Anna Miller | Marriage & Family Therapist | 223 1st St E, Jordan, MN 55352-1561 | 2017-04-24 |
| 1780913749 | Justine Marie Miller | Physician Assistant | 988102 Nebraska Medical Center, Omaha, NE 68198-8102 | 2009-12-21 |
| Street Address |
710 S 13TH ST |
| City | GOSHEN |
| State | IN |
| Zip Code | 46526-4134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631344 | Heidi Kauffmann | Social Worker | 2606 Peddler's Village Rd. Suite 210, Goshen, IN 46526 | 2017-10-27 |
| 1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
| 1578086534 | Anthony Escotto | Physical Therapist | 223 North Chicago Avenue, Goshen, IN 46526 | 2017-07-21 |
| 1831544774 | April Noelle Hart | Registered Nurse | 2606 Peddlers Village Rd., Suite 215, Goshen, IN 46526 | 2016-04-28 |
| 1639530108 | Amanda Miller | Physical Therapy Assistant | 114 Watertower Court, Goshen, IN 46526 | 2016-03-11 |
| 1720486095 | Gloria White | Pharmacist | 4430 Elkhart Road, C/o Walgreens, Goshen, IN 46526 | 2014-12-18 |
| 1184982472 | Dianna Christine Hoover | Occupational Therapist | 1627 Autumn Blaze Lane, Goshen, IN 46526 | 2012-04-24 |
| 1629361357 | Amy Rebecca Pointon | Nurse Practitioner | 1615 Winsted Dr Ste 1, Goshen, IN 46526 | 2011-05-27 |
| 1659670685 | Michiana Eye Center LLC | Optometrist | 1747 Stafford Ct, Goshen, IN 46526 | 2011-03-16 |
| 1467759001 | Natasha Candace Pontius | Occupational Therapy Assistant | 2400 College Aveune, Goshen, IN 46526 | 2011-02-17 |
| Find all providers in zip 46526 | ||||
| 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 |
|---|---|---|---|---|
| 1548557119 | Whitney Lea Gingerich | Dietitian, Registered | 57283 County Road 117, Goshen, IN 46528-7030 | 2011-07-05 |
| 1528061207 | Evelyn B. King | Dietitian, Registered | 808 N 3rd St, Goshen, IN 46528-7100 | 2005-05-24 |
| 1952940538 | Adrianne Osano | Dietitian, Registered | 200 High Park Ave, Goshen, IN 46526-4810 | 2019-12-31 |
| 1427695642 | Neltje Ribbens | Dietitian, Registered | 200 High Park Ave, Goshen, IN 46526-4810 | 2019-12-06 |
| 1699232553 | Maya Bar-zvi | Dietitian, Registered | 200 High Park Ave, Goshen, IN 46526-4810 | 2019-02-27 |
| 1386169530 | Ashley Outman | Dietitian, Registered | 200 High Park Ave, Goshen, IN 46526-4810 | 2017-08-09 |
| 1588119739 | Allyson Mast | Dietitian, Registered | 1130 Professional Dr, Goshen, IN 46526-3819 | 2016-08-17 |
| 1497127252 | Tiffany Autumn Swartzentruber | Dietitian, Registered | 200 High Park Ave, Goshen, IN 46526-4810 | 2015-10-20 |
| 1659702876 | Jessica Lee Altland | Dietitian, Registered | 30 Hatfield Ln, Suite 107, Goshen, NY 10924-6766 | 2013-12-13 |
| 1356640056 | Gloria Verdino | Dietitian, Registered | 30 Hatfield Ln, Suite 109, Goshen, NY 10924-6766 | 2011-03-21 |
| Find all providers in GOSHEN | ||||
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| 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.