Healthcare Provider Details

I. General information

NPI: 1457050700
Provider Name (Legal Business Name): JAMES MILLER RDN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2023
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2331 E 3700 S
SALT LAKE CITY UT
84109-3442
US

IV. Provider business mailing address

2331 E 3700 S
SALT LAKE CITY UT
84109-3442
US

V. Phone/Fax

Practice location:
  • Phone: 801-631-4707
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number86148619
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number86148619
License Number StateUT
# 3
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86148619
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: