1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Dietitian Registered
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MIRANDA VILLAREAL LD
NPI 1972079515
Dietitian, Registered in Albuquerque, NM

Active since October 22, 2018
5203 JUAN TABO BLVD NE STE 2A, ALBUQUERQUE, NM 87111(505) 266-6121 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 28, 2026, Jan 22, 2026, Jan 13, 2026 and 1 more (4 updates tracked since 2018).

About Miranda Villareal Ld NPPES

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

MIRANDA VILLAREAL LD (NPI 1972079515) is an individual dietitian, registered in Albuquerque, New Mexico, licensed in New Mexico (LD-1228) and active in the NPI registry since October 2018. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1972079515
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMIRANDA VILLAREALCredential: LD
Location Address5203 JUAN TABO BLVD NE STE 2AAlbuquerque, NM 87111-2691
Mailing Address4425 Juan Tabo Blvd NeAlbuquerque, NM 87111-2681
Phone(505) 266-6121
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 22, 2018
Last NPPES UpdateSeptember 28, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1972079515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NM · LD-1228
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.
5203 JUAN TABO BLVD NE STE 2A, Albuquerque, NM 87111
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miranda Villareal Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547747412
PECOS Enrollment IDI20260122000877

Medicare Billing Reassignment

Medicare enrollment records show Miranda Villareal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Unm Medical Group Inc
6.6 mi
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
NPI 1831218627 (505) 272-3303

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

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

PATRICIA LOPEZ
Counselor (Mental Health)
5203 JUAN TABO BLVD NE STE 2A
ALBUQUERQUE, NM 87111
Bernalillo County (505) 753-9719
JENNIFER MICHELLE ESPINOSA
Counselor (Mental Health)
5203 JUAN TABO BLVD NE STE 2A
ALBUQUERQUE, NM 87111
Bernalillo County (505) 266-6121
RICHARD ELLIOTT RD
Dietitian, Registered
5203 JUAN TABO BLVD NE STE 2A
ALBUQUERQUE, NM 87111
Bernalillo County (505) 266-6121
CHAYA ROSE LMSW
Social Worker
5203 JUAN TABO BLVD NE STE 2A
ALBUQUERQUE, NM 87111
Bernalillo County (505) 266-6121
ELIZABETH CURRY
Counselor (Mental Health)
5203 JUAN TABO BLVD NE STE 2A
ALBUQUERQUE, NM 87111
Bernalillo County (505) 266-6121
JULIE ALLYSON SCHULTZ LAMFT
Marriage & Family Therapist
5203 JUAN TABO BLVD NE STE 2A
ALBUQUERQUE, NM 87111
Bernalillo County (505) 206-4463
DR. KAREN WALDRIP PH.D.
Counselor (Mental Health)
5203 JUAN TABO BLVD NE STE 2A
ALBUQUERQUE, NM 87111
Bernalillo County (505) 266-6121
SUZANNE NOEL DAVIS
Counselor (Mental Health)
5203 JUAN TABO BLVD NE STE 2A
ALBUQUERQUE, NM 87111
Bernalillo County (505) 933-6338

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miranda Villareal's NPI number?

The NPI number for Miranda Villareal is 1972079515. It was assigned to this individual provider in the NPPES registry on October 22, 2018.

Where is Miranda Villareal located?

Miranda Villareal practices at 5203 Juan Tabo Blvd NE Ste 2A, Albuquerque, NM 87111. The listed phone number is (505) 266-6121.

What is Miranda Villareal's specialty?

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

Is Miranda Villareal enrolled in Medicare?

Yes. Miranda Villareal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Miranda Villareal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Villareal reassigns Medicare benefits to Unm Medical Group Inc (Albuquerque, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Miranda Villareal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Miranda Villareal was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.