Mrs Lani Kate Miller, RDN | |
12 Bellwether Way Ste 223, Bellingham, WA 98225-2914 | |
(360) 739-1278 | |
Not Available |
Full Name | Mrs Lani Kate Miller |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 12 Bellwether Way Ste 223, Bellingham, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386161990 | NPI | - | NPPES |
2138814 | Medicaid | WA | |
86057276 | Other | COMMISSION ON DIETETIC REGISTRATION | |
DI60738912 | Other | WA | DIETITIAN CERTIFICATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DI60738912 (Washington) | Primary |
133N00000X | Nutritionist | DI60738912 (Washington) | Secondary |
Provider Name | Sensibly Sprouted Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1700368420 PECOS PAC ID: 4789019241 Enrollment ID: O20200110002443 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lani Kate Miller, RDN 12 Bellwether Way Ste 201, Bellingham, WA 98225-2914 Ph: (360) 739-1278 | Mrs Lani Kate Miller, RDN 12 Bellwether Way Ste 223, Bellingham, WA 98225-2914 Ph: (360) 739-1278 |
Julie Dahlen, RD Dietitian Medicare: Medicare Enrolled Practice Location: 311 Potter St, Bellingham, WA 98225 Phone: 360-528-1566 | |
Laura Johnson, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 Old Fairhaven Pkwy Ste 303, Bellingham, WA 98225 Phone: 360-739-1278 | |
Sea-mar Community Health Center Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4455 Cordata Pkwy, Bellingham, WA 98226 Phone: 360-671-3225 Fax: 360-671-0000 | |
Kristy Young, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 220 Unity St, Bellingham, WA 98225 Phone: 360-676-6177 Fax: 360-671-3574 | |
Ms. Megan Adele Haugen, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 4465 Cordata Pkwy, Suite B, Bellingham, WA 98226 Phone: 360-752-5601 Fax: 360-752-5667 | |
Marie Tyndall, RD Dietitian Medicare: Medicare Enrolled Practice Location: 4455 Cordata Pkwy, Bellingham, WA 98226 Phone: 360-671-3225 | |
Tanya Gallo, RDN, LDN, CDCES Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1407 Sweetbay Dr, Bellingham, WA 98229 Phone: 508-212-6506 |