MIRANDA R PETRONE MS, RDN, LDN - NPI 1124660816 - Dietitian, Registered in Portland, OR

Q: What is Miranda Petrone's NPI number?

The NPI number for Miranda Petrone is 1124660816. It was assigned to this individual provider in the NPPES registry on October 14, 2019.

Q: What is Miranda Petrone's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Miranda Petrone was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Miranda R Petrone Ms, Rdn, Ldn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRANDA R PETRONE MS, RDN, LDN (NPI 1124660816) is an individual dietitian, registered in Portland, Oregon, licensed in Oregon (LD-D-10215688) and active in the NPI registry since October 2019. She maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1124660816

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMIRANDA R PETRONECredential: MS, RDN, LDN

Location Address4805 NE GLISAN ST STE 6N40Portland, OR 97213-2933

Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494

Phone(503) 215-7230

Sole ProprietorNo

Enumeration DateOctober 14, 2019

Last NPPES UpdateJune 9, 20232 updates tracked since enumeration

NPPES CertifiedJune 9, 2023

✔ NPI 1124660816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Licenses✔ Licensed in OR · LD-D-10215688✔ Licensed in NC · L005959

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

4805 NE GLISAN ST STE 6N40, Portland, OR 97213

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Secondary Practice Location 1

Location 17940 Williams Pond Ln Ste 150Charlotte, NC 28277-8409 · Phone (704) 752-7779

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEJAL ASHWIN PATEL PA-C

Physician Assistant