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

Q: 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.

Q: What is Miranda Villareal'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 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 13 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.

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 04, 2026.

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

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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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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

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)